Doctor Registration

We are excited to welcome you to our group of medical professionals. We look forward to supplying you and your patients with the very best CBD products. Please fill out this quick application, which will be used to register your account and be processed within 24 hours. You will notified by email of your account’s status immediately after reviewed.

Enter name exactly as it appears on your Federal Tax Forms
Federal Tax Identification Number (TIN), or Employer Identification Number (EIN)
Please enter a phone number we can reach you with for verification if necessary.
Please select the option that fits you best, or you can select "Other"
Password must be at least 7 characters long.
Password must be at least 7 characters long.
Given to your patients so they can purchase through our patient portal. Your referral code can be six characters long, and can contain numbers and letters only.