Practitioner Free Registration

Your membership includes the following benefits:

Full access to our website
Full access to our pro catalog of products and formulas
Free webinars (recorded)
Full access to Practitioner resources, articles, abstracts, clinical tips and newsletters

If you would like to join the ranks of our authorized practitioners, and are a US licensed health professional with an active clinical practice, please submit the following information for review and fax a copy of your license and Resale certificate(s) to 510-639-9140. If your Resale Certificate is not provided, we must charge Sales Tax according to the state law.

Please read Health Concerns MAP Policy before submitting your registration (required).

You are welcome to scan and email a copy of your documents to us at info@healthconcerns.com. If your credentials can be viewed online, please provide the web address and any additional information as we may need to verify your information. We will contact you with the status of your application usually within 72 hours.

Mailing Address:

Health Concerns

A division of LifeSeasons, Inc.

P.O Box 735298

Dallas, TX 75373-5298

Name(Required)

First Last

Company Name

Degree

School

School Location

Board Certification/Degree/Credentials(Required)

License Number (with State of licensure)(Required)

Sales and Use Tax Exemption/Resale Certificate (not Seller's Permit)- Enter State and No. - if not provided, we must charge Sales Tax according to the state law.(Required)

Email certificate to info@healthconcerns.com or fax to: (510) 639-9140.

Billing Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code Country

Clinic Address(Required)

This address is added to our Find a Practitioner database that visitors to the website can use to find a practitioner near them.

Street Address Address Line 2 City State ZIP / Postal Code Country

Ofice Phone(Required)

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I would like to receive email announcements and discount offers

Yes

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Email(Required)

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Password(Required)

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Comments or Questions

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