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Which BC communities do you serve?
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Select all that apply. If you have other training or education not listed, please list in the "Other Credentials" section below.
Please indicate which Pain BC or Pain Canada resources you have completed.
List any other relevant training or education completed, including any pain-related professional education.
If you answered 'Other' to the previous question, please specify the name(s) of the additional billing options.
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If you answered 'Other' to the previous question, please specify the name(s) of the additional direct insurers.
Please enter all languages, separated by a comma, for which your services are offered.
Provide a short description about yourself or your services. (Character limit: 500)
This information will not be publically visible.
If you have indicated that you are a registered health professional, please upload your registration and/or proof of certification(s) you have listed on this registration. This information will not be shared.Allowable file types are JPEG, PNG and PDF. Max 5 MB each. Up to 3 documents
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