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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. For your reference, download a mock landing page outline here and complete as many sections as you like. We will have a one-on-one onboarding call to give you our advice and discuss best practices for program success. We will also provide you with a partner contract to secure your legal rights in this relationship. You can review our Partner Agreement here.

Master Partner Registration

Please complete the six required fields below (and any additional fields you wish) and one of our Partnership Experts will contact you to schedule a discovery call to fully understand your needs and create a solution to meet them.

Part A - General Information

Part B - Biographical Information

Part C - Co-Branded Landing Page Information

Part D - About Your Practice

Part E - Confidential Financial Information

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