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* 1. What is your name (First and Last)?

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* 2. What is your mailing address?

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* 3. What school district do you serve and what grade(s)?

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* 4. What is your email address?

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* 5. How many copies are you requesting (If more than 1, please indicate who the additional copies are for)?

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* 6. Were you previously aware of PANDAS/PANS and that it affects 1 in 200 children presenting as psychiatric or behavioral when in fact it has medical causation that requires treatment by a medically competent PANDAS/PANS provider?

Thank you for requesting your FREE copy of PANDAS/PANS in the School Setting. To learn more about these disorders, please visit www.nwppn.org or email us at nwestppn@gmail.com

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