WPD New Health Professional Listing Page

Health Professionals Listing Form

Please complete this form and submit it by December 31 for inclusion in the next edition of The WPD. Do not pay at this time! We will send you a verification and invoice prior to closing for the next edition. If you need assistance, have a question about the DIRECTORY, or wish to discuss display advertising, please call (301) 384-1506. The 2008 edition will be distributed March 31. (Rates are based on average paid circulation in excess of 15,000 copies for the 2008 edition.)

INCLUDE MY LISTING

In the 2008 WPD under the category(s) checked. There is a minimum charge of $40 per category and you will receive a complimentary copy for each category listing.

Acupuncturists	Hypnotherapists	Oral Surgeons*
Audiologists	Intraoperative Monitoring	Orthotists Prosthetists
Biofeedback Specialists	Lactation Consultants	Personal Fitness Specialists
Cardiac Rehabilitation Counselors	Marriage&Family Therapist	Physical Therapists
Chiropractors	Massage Therapists	Podiatrists*
Dentists*	Medical Case Managers	Psychiatric Mental Health Nurses
Dentists/T.M.J. Specialists*	Myotherapists, Trigger Point	Psychologists
Diabetes Mgmt. Programs	Neuropsychologists	Psychologists Health
Eating Disorders	Nurse Midwives	Rehabilitation Counselors & Services
Electrologists	Nurse Practitioners	Sex Therapists
Geriatric Care Managers	Nutritionists (Dietitians)	Social Workers - Clinical
Group Therapists	Occupational Therapists	Speech - Language Pathologists
Hand Therapists	Opticians	Stress Management Specialists
Hearing Aid Specialists	Optometrists	Substance Abuse Specialists
Other

Some of the above categories were included in the 2007 edition. Any redundancy was at the request of the advertiser. The publisher reserves the right to refuse or restrict category headings.
* Listed in separate section.

Basic Listing Information

Please include the following information in my listing under the category(s) I have checked above. I understand I will receive a complimentary copy, a $50 value, for each category I am listed under.

Name NPI
(Personal or Trade - For personal, please include credentials, i.e., PhD, LCSW, MS CCC-A, PT, etc.)
Main Address
City State Zip+4
Phone# Fax#

Second Office Address

City State Zip+4

Phone# Fax#

Third Office Address

City State Zip+4

Phone# Fax#

Fourth Office Address

City State Zip+4

Phone# Fax#

CHARGES
No payment is required at this time. We will send you a verification and invoice prior to closing for the next edition

Basic Listing $40 X # of categories __ =
Additional Address 20 X # of categories X # of additional addresses __ =
Email Address - $20 __ =
Website in bold type - $30 __ =

Charges Total:

REQUEST FOR ADDITIONAL INFORMATION.
Please contact me about display advertising rates.