Provider Application

Claim your exclusive territory

Tell us about your practice, treatments, and metro. We confirm territory availability, walk your economics, and set up your verified directory listing alongside a month-to-month proof period. Most practices hear back within one business day. We charge nothing until you are vetted and accepted. Advertising stays locked until the listing is claimed, verified, and a person approves it.

Capped, exclusive territories
Verified directory listing + backlink
48-hour replacement guarantee

What do you want to do?

Pick one or more. You can list the practice, register to buy leads, and request advertising in the same application.

Clinic name

Your name

Your role

Phone

Work email

Metro / requested territory

Treatments your practice offers

Areas of interest

Areas of interest drive matching. Lead volume and coverage in those areas are what unlock an advertising review later.

Additional ZIPs or cities (optional extras)

Practice website (optional)

Years in operation (optional)

Monthly marketing spend (optional)

Number of locations (optional)

Preferred pricing model

Per exclusive leadPer booked consultMonthly retainerNot sure yet, advise me

Directory membership interest (optional)

Network Member ($149/mo)Featured Practice ($349/mo)Undecided, walk me through it

By submitting, I consent to be contacted by MedSpa Pro about exclusive lead territories and program economics for my clinic, by phone call, text message, and email, including via automated technology, at the business number and email I provided. Consent is not a condition of any purchase. Message and data rates may apply. Reply STOP to opt out at any time.

Want the details first? Read how membership works, buying leads, or advertising unlocks. Per-lead rates are confirmed in writing at onboarding, never published as a public price list.

Not a provider? Find an independent licensed provider instead.