Practitioner Registration

A Health Practitioner Registration account provides wholesale account for all products and special programs to benefit your clinical practice. To apply, read our list of Qualified Professions and Exception Policy, and then submit your application below.

Please enter your website:


In order to set up your account, we need to receive a copy of one of the following items: certification or state license.

Option 1: Upload your certification or state license


Option 2:

Provide link to Licensing Board Website

List your License Number


Will you be reselling products outside your private practice?

If yes, where will they be sold?

Would you be interested in receiving information on our Patient Referral Link Program so that your patients can purchase products directly from us?

Area(s) of Focus/Interest (check all applicable):