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Directory Results for The McKenzie Institute Course Registration 2012 (Registration must be faxed or mailed PLEASE PRINT CLEARLY) A B $650 C $650 ONLINE PREREQUISITE E D $699 $699 Audit AD 50% of course fees CSU $400 ($200 audit) $450 Audit fee is to THE MCKENZIE INSTITUTE LUMBAR SPINE ASSESSMENT Date Name Sex M /F Address Telephone Date of Birth Age Referral: GP / Orth / Self / Other Work: Mechanical stresses Leisure: Mechanical stresses Functional disability from present episode - - -