REGISTRATION

LICENSED HEALTHCARE PROFESSIONAL

Register to purchase ProLon or to make it available for your patients. Once you are registered,  you will receive your HCP approval code which allows you to:

  • Purchase ProLon online to sell from your office.
  • Set-up your own e-Commerce store.
  • Refer patients to ProLonProfessional.com

If you have any questions or do not receive your HCP approval code,
please contact us at: sales-support@l-nutra.com.

Licensed Health Professional

1. Begin Registration



2. Account Information

Office Address

3. PROLON IN YOUR PRACTICE
















PLEASE DESCRIBE YOUR PAYOR MIX (VALUE BETWEEN 0 TO 100)






IF YOU’D LIKE TO ADD SOMEONE ON YOUR TEAM TO BE NOTIFIED ABOUT SPECIAL PRICING OFFERS, EDUCATIONAL EVENTS, MARKETING OPTIONS, OR OTHER RELEVANT UPDATES, ENTER THEIR DETAILS BELOW.