Co-Cure E-Mail Submission Form: General

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If you wish to submit the name of a physician for the CFS/FM Good Doctor List, please use the on-line form created just for that purpose.


Please complete fields as accurately as possible. The information will be forwarded to the Co-Cure Listowners when the Submit button (located at the bottom of the form) is selected. If preferred, you may contact the Listowner or the Moderators at co-cure-mod@listserv.nodak.edu

Enter your name:

Enter your email address:

Select one of the following that best describes the purpose of your message:

If Other, enter brief description here:

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Last Revision: August 10, 1998