Practitioner Registration Form

Note: You must be a registered practitioner to fill in this form and order through this site.

Tip: To help us quickly find your practice and upload your reports please make your username your first and last name. (spaces are allowed in your username) Example: Mary Smith
Tip: Please ensure you write down your password in a secure location as you will need it to enter the website when you want to place an order. You can reset your password at anytime using the lost password function on our login page

Practice Information

Please provide the following details about your practice
Arthritis
Cancer
Allergies
Urinary Issues
Alzheimers and dementia
Endocrine disorders
Autoimmunity
Children
Hypertension
Heart disease
Digestive Issues
Mental health
Thyroid disorders
CFS
Infection
Joint issues
Muskuloskeletal
Diabetes
Asthma
Depression
Skin diseases
Adrenal disorders
Fibromyalgia
Immune dysfunction
Fertility
Detox
I understand this website content and pricing is strictly for the account holder and is not to be disclosed to any 3rd party.
I understand on placing my first order, my credit card will be encrypted and stored by our merchant account provider to make ordering easy. I agree that at no time will i place a patients credit card into the system and I will be the authorised credit card holder.
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