HCP Registration

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Please note we changed our sample ordering process as of January 13th 2023. If you ordered samples before that date, you will need to register as a new user by completing the form below:
You will be asked to create a username/password and answer questions related to your practice.
Please note that you must enter a valid work email. Personal email addresses (e.g. – Gmail, Yahoo, AOL etc) will not be accepted.

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Clinical Profession^*

What is the size of your practice?^*

How many patients do you see per week that may have a use for this product?^*

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