Certified Provider Online Application

Request for Consideration

Your introductory package from Unique Logic & Technology, Inc. explained the Certified Provider Package program. We need to know a little more about you for review by Patent License Committee. Please take time to fully complete the questions below in detail. This information is confidential and places no further obligation on either Unique Logic & Technology, Inc. or the applicant.


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Information for Professionals

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For any questions about the system or sales and ordering questions, please call (800) 788-6786 Monday through Friday between 9 AM and 6 PM Eastern Time Zone (−5 GMT). International callers may reach us at 1.828.225.5522
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To receive a FREE Play Attention demonstration CD and eBook on ADHD Management, please phone (800)  788-6786 Monday through Friday between 9 AM and 6 PM Eastern Time Zone (−5 GMT). If you cannot call during these hours, please leave your telephone number and a time that would be convenient for us to contact you. International callers may reach us at 011.828.225.5522