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Evaluation Form Day 3 – July 24th

Acupuncture CEUs Evaluation Form (required)

Please complete this form in order to receive CEUs from the NCCAOM or California Acupuncture Board. If you are a licensed practitioner and require your license information to be displayed on your certificate, please enter that information in the space provided below.

Name(Required)
Do you want NCCAOM CEUs?(Required)
Do you want California Acupuncture Board CEUs?(Required)
Which class did you attend?(Required)
Please select one

Are you currently …(Required)
Please select all that apply
What other Chinese Medicine topics are you interested in?
Please select all that apply
May we use your testimonial on our website?
Please select one

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