Application to Purchase and Use Assessment Materials
This form must be completed by the  "user"  who will assume overall professional responsibility for the interpretation and use of B and/ or C level tests.  The "User" is the individual who assumes responsibility for all aspects of appropriate test use, including administration, scoring, interpretation, and application of results. Some tests may be administered or scored by individuals with less training, as long as they are under the supervision of a qualified User. Each test manual will provide additional detail on administration, scoring and/or interpretation requirements and options for the particular test. Therapro accepts orders from individuals when this Application to Purchase and use Assessment Materials has been submitted to and accepted by Therapro. All tests are classified by a User qualification code. See the specific test descriptions in the catalog or on the Web for these qualification levels.
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Email *
First Name (as listed in your Therapro.com customer account): *
Last Name (as listed in your Therapro.com customer account): *
Professional Title:
Name of Organization (as listed on your Therapro.com customer account), if applicable :
Order Number, if applicable :
Type of Organization: *
Address Type: *
Street Address: *
City *
State/Province: *
Zip/Postal Code: *
Phone Number: *
Email Address (Must match your Therapro.com customer account): *
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