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Occupation
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Doctor / Medical Professional
Surgeon
Athlete
Individual
Sports Academy
Sports Agent
Sports Association
Email
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First name
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Last name
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Office/Primary Phone
Optional - 10 digits
Cell Phone Number
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Required for OTP verification - 10 digits
Password
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Confirm password
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Payment Method
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Pay as You Go
Monthly Invoice
Pay as You Go
You will be charged when you submit a case for review.
Address
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City
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State
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Zip Code
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Policy Acknowledgments
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Terms and Conditions for Payment Process
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I have read and agree to the
Payment Cancellation Policy
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I have read and agree to the
Payment Dispute and Resolution Policy
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