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Become A Member

Membership Application

  • **If yes to any of the above, please submit a letter of explanation for consideration.
  • Important Instructions - Submit this application with a current curriculum vitae, recent photograph and a copy of your state license. An agreement contract will be forwarded to you that will require your signature and notarization.

    Please send all required documents to:
    American College of Chiropractic Consultants
    8219 Kennedy Ave.
    Highland, IN 46322