Chinese Scalp Acupuncture
Tempe Mission Palms Hotel & Conference Center
May 30, 2022 (Memorial Day)
In addition to completing this form, the following items are required for your application to be considered. You should submit them via email to firstname.lastname@example.org.
- Tuition payment
- Scan of your current medical license
- Documentation of COVID-19 vaccination (including booster)
The fields indicated with an asterisk (*) are required.