Please fill out this form to opt-out of your free Injury+ listing and advanced training – benefits which were announced by the International Chiropractors Association (ICA) on December 11, 2013. Please understand that your election is permanent. Once submitted, your election to opt-out of the free benefits cannot be reversed. Please allow at least two (2) weeks for us to process your election to opt-out. If you have questions about this form, please feel free to contact Mark Cook of the ICA at 571-765-7557 or Keith Pendleton, JD at 855-224-3295. Thanks!
  • This will be your USERNAME