Request Account

Thank you for your interest in becoming a Client of Natural Partners, Inc.! Here at Natural Partners, we strive to keep our integrity in the professional supplement industry by only selling to licensed health care professionals. In order to obtain an account we will need to receive a copy of your current licensure please email or fax a copy of your license upon completion of below form. Shortly after completing the below form you will receive an automated confirmation email, pending account approval you will receive a follow up welcome email. Email: Info@naturalpartners.com Fax: 800-862-1261 If you already have a Natural Partners account, and would like to access our online website, or if would like to reinstate an existing account please call us direct at 888-633-7620. We look forward to serving your supplemental and wellness needs!
First Name
Last Name
Business Name
Specialty
Website
License Number

Office Contact
Address
Suite
City
State
Zip
Phone
Fax
Email
Address Type
ResidentialCommercial
Where did you hear about us?
Dr ReferralWebVendorSchoolOther
Referring Doctor
Preferred Method of Payment
CODCredit Card
Thank you for choosing to partner with Natural Partners, we look forward to working with you. Please submit your form and send a copy of your license to info@naturalpartners.com or 800-862-1261. Please call us direct with any inquiries 888-633-7620.