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* 1. Please enter your first and last name, with degree,  exactly as you want it to appear in the publication (i.e. Mary V. Smith, PhD) (required)

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* 2. Please enter your affiliations, exactly as you want them to appear in the publication (required)

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* 3. Please enter the country where you reside

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* 4. I agree to have my name listed as agreeing with the manuscript entitled "The World Federation of ADHD International Consensus Statement: 184 Evidenced-Based Conclusions about the Disorder"

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