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Health Professional Registration

HeartMath® Health Professional Registration Form

Last Updated on Wednesday, 25 April 2012 11:46 Written by HeartMath Wednesday, 26 January 2011 14:35

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Health Professional Registration Form

We invite health professionals, e.g., doctors, psychologists, coaches, etc. who work with clients and patients in a practice, to open an account with HeartMath LLC and obtain products at a discount. Please fill out and submit the form below, and we'll provide you with access to the health professional discount order form on the Web site. We will also send information to help you use our products and techniques in your practice.

Health Professional Registration Form

First Name (*)	Invalid Input
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Do youOwn an emWave® PC Stress Relief System (formerly Freeze-Framer®) or emWave® Personal Stress Reliever®?	Invalid Input
If so, do you use any of these HeartMath technologies in your practice?	Invalid Input
Please describe your practice (credentials, patient/client population, conditions treated)	Invalid Input
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For more information contact:

Carol Thompson
Telephone: (800) 450-9111, Ext. 781 (Toll-Free)
Telephone: (831) 338-8700, Ext. 781 (International)
E-Mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

John White
Telephone: (800) 450-9111, Ext. 711 (Toll-Free)
Telephone: (831) 338-8700, Ext. 711 (International)
E-Mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

HeartMath® Health Professional Registration Form

Health Professional Registration Form

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