I hereby apply for certification as a Certified Chiropractic Clinical Assistant per N.C.G.S. 90-143.4, and along with this completed application/registration, and delivery to the Board office of the required documentation outlined below, I agree to pay the $20 application fee required by the NC State Board of Examiners.
These documents can also be faxed to us at 704-793-1385 or emailed to firstname.lastname@example.org.
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