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To become a registered member with Back In Action, simply fill out the form below. Once your membership request has been approved, you will be notified via email. Please make sure the email address you provide is accurate. Form fields marked with an * are required for registration.
Please note that Back In Action respects your privacy, and will not loan, sell, or otherwise distribute your personal information to any third party. For details, please review our Privacy Policy.
We appreciate that you have chosen our clinic for information and guidance on your health care.
Please do not hesitate to contact us directly with any question or concern you may have. Further, Dr. Berv the clinic director is always available by email and if you contact our office at getbackinaction@comcast.net Dr. Berv will be sure to respond in a timely manner.
In health,
Dr. Berv and the entire Back In Action staff
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