NAIOMT > Course Registration Info Request

NAIOMT Course Registration Information Request


	Please note: this is not a course registration or application! Your contact information will be provided to the appropriate course site and they will contact you with the courses registration and information.

	Please read the NAIOMT Privacy Policy.


Student Information
fields marked with a "*" are required

*Name:
Different last name (eg. Maiden):
*Designations:
Home Address:
Home City:
Home State:
Home ZIP:

*Home Phone:
*Email:

PT License #:
PT License Exp Date:
PT License State:

Employer:
Work Address:
Work City:
Work State:
Work Zip:
Work Phone:
Work Email:

Select course and site you are inquiring about ...
Core Courses	Course Sites
Level I 500 Differential Diagnosis Level II 600 Intermediate Upper Quadrant Level II 610 Intermediate Lower Quadrant Level II 625 Peripheral Manipulation Level II 640 Thoracic Spine Level III 700 Advanced Upper Quadrant Level III 710 Advanced Lower Quadrant Level III 720 Clinical Reasoning Level III 740 Thoracic Spine Level IV 800 Advanced Techniques	Berrien Springs, MI Boise, ID Boston, MA Bradenton, FL Colorado Springs, CO Charlotte, NC Croton, NY Dallas, TX Fremont, CA Fresno, CA Honolulu, HI Knoxville, TN Myrtle Beach, SC New York, NY Newark, DE Portland, OR Reston, VA Santa Barbara, CA Seattle, WA Shelby, NC Spokane, WA St. Louis, MO Syracruse, NY Tuscon, AZ Tulsa, OK Warren, MI

Specialty Courses
Level I 555 Spinal Instability:Efficiency Clinical Approach Level I 560 Subacute MVA: Efficiency Clinical Approach Level II 650 Medical Screening: Medical & Musculoskeletal Level II 655 The Complicated Patient Level II 660 Writing for Publication Level II 665 The Ankle and Foot Level II 670 Manual Therapy for the Myofascial System Level II 675 Tamporomandibular Joint Dysfunction Level III 755 The Missing Link Level III 765 Functional Shoulder Girdle Level III 770 Post MVA Cervical Dysfunction Level III 775 Headaches, Dizziness & Chronic Neck Pain

*I prefer to initially be contacted by:	surface mail telephone e-mail