Pre-registration of a learner

Neurodynamique : Thérapie Manuelle des Neuropathies Périphériques STRASBOURG 23/24 - from November 1, 2023 to May 13, 2024

Vous pouvez préinscrire un stagiaire à la formation grâce à ce formulaire. Merci de rentrer un maximum d'informations pour simplifier le travail d'enregistrement. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.

General information

First name

Last name* Email* Postcode of place of birth

Address*

Postcode*

City*

Phone*

Language in the Learners' Portal

DPC fields

ADELI NO.

RPPS NO.

Main exercise (> 50%)*

National guidelines

Other

Free notes

Fields marked with * are mandatory.

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