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Advertising Standards
Your details
1.
What is your name?
2.
Are you completing this on behalf of an organisation or group?
Yes
No
If yes, what is the organisation or group name?
3.
What is your current practising status
I hold an APC
I am registered, but do not hold an APC
I used to be a chiropractor but am no longer registered
I am not from the chiropractic profession
Other (please specify)