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• At least 8 characters
• At least 1 lower-case letter
• At least 1 upper-case letter
• At least 1 number
• At least 1 special character ( !@#$%^&*()\-_=+{};:,<.> )

Upload Professional License

Please note that a professional license is required for account approval. If you do not have one available to upload now, you may register, but will need to email your license to [email protected] before your account may be approved.

Sign up to offer Patient Direct Ordering

Submit a W-9 and you’ll be able to offer your patients the ability to order directly from our website.

Download W-9 form

Resale Permit

If you hold a valid CA Resale Permit, in order to forgo paying CA sales tax, please upload here. If you do not have a copy readily availably, you may send a copy to [email protected]