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Physicians and surgeons, upon validation of your credentials, your name, medical specialty, and city will be added to the list viewed here.

Please note: all fields are required, except for comments.

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(Non-US Residents: please include country code number)

Email

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The information below is only applicable to physicians/surgeons
and other medical professionals.

Medical Degree (if applicable)

Medical License Number

Specialty or Primary Practice

Please List Medical Association Memberships

By selecting "Yes, I agree" in the checkbox below, you agree with the following statement:

"We are skeptical of claims for the ability of random mutation and natural selection to account for the complexity of life and we therefore dissent from Darwinian macroevolution as a viable theory. This does not imply the endorsement of any alternative theory."

By selecting "Yes, I agree" in the checkbox below, you also agree to be added to our members list which is avaliable to the public.

  Yes, I agree    No, but please send me more information on this subject.

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