Practitioner Registration

Here you will create your username and special practitioner code. When you send clients to this site to buy their supplements, they will use your practitioner code to complete their checkout process. This code will help us keep track of what your clients have purchased so your commissions can be tallied at the end of each month. Without this code, your clients will not be able to complete their checkout process

Username: *

First Name: *

Last Name: *

Street address: *

City: *

Country: *

State:

Zip: *

Phone #: *

Email: *

Create Your Practitioner Code: *

This will be a mandatory code for your customers to use during the checkout process, so we know the order belongs to you

Practitioner Type: *

I am a Biomedx Certified Cell Therapy Practitioner

I am a Biomedx Certified Flow Practitioner

I am a Biomedx Certified Microscope Practitioner

I am a Non-Biomedx Practitioner

You must check the boxes below to agree to these terms: *

I understand that I am responsible for the products my clients buy, as if they were buying them in my office. I understand that an email notification will be sent to me each time a client places an order, listing the products that were purchased by that client. I agree to review these notifications and let Natural Reference (and the client) know if they have purchased a product that is not suitable, to the best of my knowledge, for the imbalances they appear to be dealing with.

I understand that sometimes emails can get lost in the unknown. Therefore, I agree to periodically login to my Natural Reference account and review the orders that have been place by my clients to ensure they are ordering products that are appropriate for them.

I agree that Natural Reference, LLC will not be held liable for any damages or issues that may be created from a client ordering a product or products that are not suitable for their chemical makeup.

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