Information Request

Phone: (941) 907-9250

Email for clinic:
Email for seminars:

For your convenience, please use this form to register for seminars, request an appointment, be added to our News & Announcement list or to schedule an appointment.  Please fill it out completely including a message at the end to make sure we have enough information to respond appropriately.
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Street Address
Address Line 2
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E-mail Address
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