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NMSS-NCH WELLNESS PROGRAM REGISTRATION RESOURCE PAGE
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INDIVIDUALS WITH MS ARE REQUIRED TO PRE-REGISTER WITH THE SOUTH FLORIDA CHAPTER. AFTER REGISTERING YOU WILL RECEIVE A MEMBERSHIP CARD. |
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HOW TO REGISTER BY PHONE Call (239)793-7009. This is a local number for anyone in Collier County. When the recording gives you the option, press "1" When your call is answered, tell the person you are speaking to that you wish to register for "THE NATIONAL MS SOCIETY-NCH WELLNESS PROGRAM."
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HOW TO REGISTER BY FAX Click on each document link below, and download and print the forms NMSS-NCH WELLNESS FAX COVER SHEET MS/MEDICAL HISTORY QUESTIONAIRE Print your name on the Fax Cover Sheet the line immediately below 'NMSS-NCH WELLNESS PROGRAM APPLICATION FORM" Complete and sign the MS/MEDICAL HISTORY QUESTIONNAIRE, WAIVER AND RELEASE FORM AND CONSENT FOR PHOTO FORM. Place cover sheet on top of the MS/MEDICAL HISTORY QUESTIONNAIRE, WAIVER AND RELEASE FORM AND CONSENT FOR PHOTO FORM. and fax to 954-731-4046 |
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HOW TO REGISTER BY E-MAIL E- MAIL msprograms@fls.nmss.org Indicate in the e-mail that you wish to register for "THE NATIONAL MS SOCIETY-NCH WELLNESS PROGRAM."
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