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Coding for Clinicians Group Practice Subscription

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Thanks for your interest in ACP’s Coding for Clinicians. Upon submission of this form, you will receive the discount priority code for your practice.

First Name:

Last Name:

Title:

Email Address

Practice Name:

Practice Address:

Phone Number:

Names of Subscribing Clinicians:

How did you hear about Coding for Clinicians?

ACP Email

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Peer Referral

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