Welcome to the CCNM Alumni Association members' Profile form. None of the information is mandatory. You may choose to include extensive information about yourself, or just the bare minimum facts. Consider your profile as a window into your practice.
Members are entitled to make two changes to the profile over a one-year period, at no extra charge. If you choose to include a photograph or graphic (e.g., clinic logo), there will be a nominal charge.
Please e-mail graphic files as an attachment to
.
To view a sample profile click here.
Do not use ALL CAPITAL LETTERS in your practitioner profile submission. Profile submissions that contain text wilth ALL CAPITAL LETTERS will not be processed.
Your Name
Designations
Clinic/Practice Name
Clinic/Practice Address
Unit/Suite
City/Town
Province/State
Postal Code/Zip Code
Country (if "Other" please specify)
Clinic/Practice Telephone
Clinic/Practice Email Address
Clinic/Practice Web Site (optional)
Clinic/Practice Description (250 word maximum) (e.g. undergraduate studies, other training, number of years in practice, specialties, auxiliary treatment methods offered, partners or associates, adjunct services, etc.)
Clinic/Practice Hours (optional)
Announcements (e.g. upcoming events, open house, public lecture, new partner, etc.)
Do not use ALL CAPITAL LETTERS in your practitioner profile submission. Profile submissions that contain text wilth ALL CAPITAL LETTERS will not be processed.