Thank you for completing BEAR Implant Rehabilitation Course! Please complete this form to be featured on our ‘Find a Physical Therapist’ Map

Please note that we will be only featuring clinic/location level information on the map, not specific providers. Only one PT at each location has to complete this form.


Please direct any questions to jepstein@miachortho.com

SECTION 1: CLINIC INFORMATION TO POST ON WEBSITE

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Phone

Must Lead with 'https://'

SECTION 2: YOUR INFORMATION. Only for contact reference, not for the Website

Phone

SECTION 3: Upload your CE Certificate Here

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