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UI HealthPlex Clinic
Clinic Endorsement Program
Clinic Endorsement Application
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Please supply the following information on all CranioSacral Therapy-trained staff:
Therapist Name   
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Has Served As a:    Preceptor Visiting Therapist
Therapist Name   
Level of CST   
Avg. Hrs /Wk Performing CST   
Has Served As a:  Preceptor Visiting Therapist
Therapist Name   
Level of CST   
Avg. Hrs /Wk Performing CST   
Has Served As a:  Preceptor Visiting Therapist
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Therapies
John E. Upledger, DO, OMM