Becoming a Professional Formulas Practitioner

Professional Formulas' products and literature are only available to qualified healthcare professionals and healthcare students. If you are a healthcare practitioner or student interested in opening an account, we would be delighted to serve you. Please begin the new account process using any of the methods outlined below.

Complete and submit the form below;
email data@professionalformulas.com; or
Call our Customer Service Representatives toll-free at (1.800.952.2219)

Our goal is to get to know you, your practice and your natural medicine needs from the very beginning of our relationship.

To expedite approval of your new account, please fax your license/certification to us at 503.479.3149 after submitting the information below. One of our customer service representatives will respond to you within 24 hours of receiving your inquiry.

If you have an existing account and need help with your username or password, please call us toll-free at 1.800.952.2219.

First Name:
Last Name:
Clinic Name:
Phone Number:
Email:
Street Address:
City:
State:
Zip code:
I am a:
Degree:
How did you hear about Professional Formulas?
Comments:

*This form is only for licensed healthcare providers in the U.S. and Canada. Student interested in accounts can submit a valid and current student identification card and/or transcripts in place of a healthcare license, degree, or certification.

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Becoming a Professional Formulas Practitioner