Here is how to submit data to the Global Data Project and receive the Weston Price Award:
Please print out and fill out this form bellow:
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Global Data Project Submission Form
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How many patients are you reviewimg (minimum of 50)? |
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How many have a heart or cardiovascular disorder? |
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How many have a diabetic disorder? |
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How many have a mental illness? |
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How many have a currently active state of cancer? |
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How many have a respiratory disorder? |
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How many have a eye disorder? |
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How many have a neuromuscular disorder? |
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How many have have a form of arthritis? |
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How many have a kidney disorder? |
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How many are pregnant? |
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How many have a endocrine disorder? |
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How many have a urinary or bladder disorder? |
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How many have suffered a stroke? |
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How many have a compromised liver? |
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Personal Data |
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What city and state do you practice in? |
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Is it a private practice or other? |
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Have all the patients you surveyed been active within the last 2 years? |
The Weston Price Award will be given to you under the name of:
_____________________________________________________________________________________________________________
Please mail this form to:
Global Data Project
4856 N st Rd 7 Unit 106
Coconut Creek Fl 33428
Check of $350 dollars must be written to:
Clarity Dental
Please allow up to 4 weeks for the award to be mailed to you. You will be given options of your profile to be displayed on the Dental Research Foundation website as well.