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Free Subscription to Medical Practitioners

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This publication is sent free of charge to medical practitioners in the United States only*. US postal regulations require qualified subscribers actively request their free subscription, and renew periodically, for the journal to be mailed in the most efficient manner possible. Please complete the form below for uninterrupted subscriptions for the next 2 years.


Subscription Form

If you currently receive the journal, please enter the 7-digit numeric ID
from the address label (see sample):

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If you are a medical practitioner and wish to receive, or continue to receive, a free subscription to Practical Pain Management, click 'Yes' below. If you currently receive PPM and wish to discontinue, click 'No' below.

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*First Name & MI: *Last Name:
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If 'Other,' specify:
Clinic/Practice:
* Address:
*City:
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  A Personal Authenticator (P/A), in lieu of a signature, is
required to authenticate that you are personally requesting
this subscription.
    1. In P/A Category, enter a subject (birth city, birth state
        [country, if foreign born], or high school.).
    2. In P/A Value, enter the answer to the category.
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