EEG Expert is Digital Knowledge for Neurofeedback Therapists - QIK Test, Symptomtracking, EEG Biofeedback, QIKtest

Joining EEG Expert is easy. Welcome onboard!

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Information
Signing up for an account allows us to track usage for billing purposes. An account also allows you to have a private area within the expert for your own reports and data, this way you can always come back to review old reports, print them again later, and even automatically compare retest data with client data that is already stored in your account. Security is of the highest concern, and we have taken many precautions to protect your clients confidential information. This is also reflected in our password generation procedure, which is designed to prevent simple password guessing and other hacking.

What happens after you fill this out?
After we process your signup form, we will contact you by means of email. The purpose of this is to exchange credit card information, eeg expert login info and a password. Credit card data is not stored on our servers.

Instructions
Please fill out all the fields below, then click the "submit" button at the end of the page.
Fields marked with a "*" are required.

First Name *
Last Name *
Title		(e.g. Mr, Ms, Dr...)
Company

Preferred username for login *		(RULES: 6 to 9 characters, no spaces,-,_ ; 'mrabc', we suggest you use your first initial and a couple of letters of your last name, or a username you frequently like using, we will check to avoid duplicates in our system, do NOT use spaces!)
Password for login *		(e.g. 'bird8493', 6-10 letters, and a combination of letters and numbers, please no names or birthdates, please make a note of your user name and password)

Email *
Street and number *		(e.g. 461 Ocean Blvd.)
City *
State		(e.g. CA, NY, FL,..)
Zip *
Country *

Phone *
Alternative phone		(e.g. mobile)
Fax

Optional Comment		Optional
Project		Optional

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