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.

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.

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.

Lead volume you can take

This is capacity, not a promise of volume. Higher capacity in high-demand areas is one of the metrics that opens advertising review.

Preferred pricing model
Directory membership interest (optional)

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.