Practitioner Application Form

If you wish to apply for a practitioner account, please fill in the information below. We will review this information before getting back to you as soon as possible.

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Certificate of Membership:
Please upload a copy of your certificate of membership with the appropriate regulatory body. (e.g. Association of Naturopathic Practitioners, National Institute of Medicinal Herbalists)
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Tick the box above to receive practitioner communications from us regarding promotion and latest products
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Please add the two numbers