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Medical & Chiropractic Practice Partner Agreement

Greetings! We are excited to be joining forces with you to advance wellness through functional food and nutrition. Please review our program overview here. Use the form below to register your medical practice as a revenue-sharing partner with MyFormulary. Please download, read and retain a copy of our Partner Agreement here. You will be asked to acknowledge receipt and acceptance of terms at the end of the form below.

Here’s an overview of the benefits you should expect from our program:

  • Clinically proven, condition specific food recommendations
  • Zero Cost to enroll and maintain your Practice Website
  • Convenient online shopping home delivery
  • New Incremental Life-Long Revenues
  • Food, Beverages, Supplements
  • High Quality, Healthy Natural foods
  • Saves Doctor time
  • Better outcomes for patients & practice

We’ve made it fast and easy. MyFormulary does all the work for you

  1. Review the information on this page
  2. Schedule a 15 minute online video conference 
  3. Discuss objectives and outcomes
  4. Review best practices for success
  5. Schedule onboarding call
  6. Order materials
  7. Launch in practice, on website, and through email

We will build you a Landing Page on our website like this one. You are in control of the content and can include any elements you like, such as:

  • Featured brands or products
  • Specific medical conditions or wellness goals
  • Links to your main website
  • Content from your main website
  • Articles, blogs, studies, etc from our resources
  • Just about anything else

MyFormulary has developed a set of standards that result in the highest ROI in the least amount of time. We know Practitioner time is short and want to help you save time with patients. The following is a summary of our recommendations for best practices for the most successful campaigns:

  • Practice collateral including posters, banners, brochures, our “rx” pad, and our $50 gift card
  • Link your website to our website with a SHOP button and with imagery on your home page
  •  Imagery on your homepage to match imagery on our Landing Page
  • Support staff training to educate patients and answer questions
  • Support staff to provide patient orientation and assist with first purchase
  • Weekly emails and/or texts

Enrollment is easy using the form below. All information is confidential, secured and encrypted with SSL. If, however, you have any concern about banking or other sensitive information, we are happy to take such information over the phone. 

  • We share 35% of our net profits with our Partners.
  • We utilize the patented software-as-a-service of Reshare Commerce to calculate revenue share on a line-item basis.
  • The Reshare solution delivers monthly reports with full GAAP transparency.
  • Revenue for the prior month is reported on the first business day following the 15th of the current month.
  • Funds are sent by ACH directly into your bank account. 
  • Revenues less than $100 are carried forward to the following month.

There are many resources on this website for you to use including print, signage, and digital. You may use our designs freely or contact us to develop materials to meet your specific needs. We have wholesale printing and signage relationships and pass the savings on to you. For a list of stock signage and print materials, click here.

Medical Practice Registration

Part A - General Information

Address
City
State/Province
Zip/Postal

Part B - Biographical Information

Part C - Co-Branded Landing Page Information

Part D - About Your Practice

50
50
50

Part E - Confidential Financial Information

MyFormulary Staff Section Only