Customer Registration

Education for Wisconsin Chiropractors and Clinic Staff

New User Registration

Your website

It's important that this email is checked regularly as it will be utilized for: receipts, course confirmations, etc.

*Also important that the email is unique to you and not shared with others.

Confirm Email

It's important that this email is checked regularly as it will be utilized for: receipts, course confirmations, etc.

*Also important that the email is unique to you and not shared with others.

Password

Min 6 chars, 1 upper, 1 lower, 1 special char, 1 digit

Confirm Password

First name

Please enter your first name.

Middle name

Please enter your middle name or middle initial. This is useful when we have multiple profiles with the same names to then differentiate between the two.

Last name

Please enter your last name.

Clinic Name

Please enter the official clinic name of your employer, whether you are the owner or employee.

Cell Phone

Primarily utilized in the event your email address is undeliverable. Your cell phone number will never be shared.

Clinic Phone

Please enter the clinic phone number.

Country

Address

City

State

Zip Code

County

Additional CC Email

This cc'd email address will receive a copy of all emails that are sent to the email address for this account.

*Useful for dues invoices, event confirmations, etc.

Clinic Address

Add New Clinic Address

Chiropractic College

Please enter the Chiropractic College you attended.

Chiropractic College

Professional Role

Please choose the professional role that applies to you:

"Staff" refers to someone working in a healthcare setting that is a CT, CRT, Front Desk, Billing Staff, etc.
"Other" is someone outside of chiropractic, such as a Physical Therapist, Massage Therapist, etc.

DC Staff Other