Dear State Leader: As part of the Chiropractic Future Strategic Plan (CFSP), the ChiroTech Consortium (CTC) has worked with Mr. Brad Cost to build reimbursement dashboards. Due to regulatory and data privacy requirements, we are asking each state leader to “opt-In” to have access to a wide array of reimbursement data points that can be shared with members and also be used to identify and address payer abuses. You will also be able to access a wide array of “de-identified” reimbursement data points. We would like to share v1 with you, so please complete this form ASAP to authorize the release of your name and email address to Mr. Cost so he can make the state and national dashboards available to you. Your information will not be sold, leased, or used in any other way. Questions, contact Lizz Klein.