Provider Signup

Thank you for your interest in CuralysMD™. We're pleased to offer licensed providers exclusive access to free samples and a 30% wholesale discount on our products. Here's how to get started:

Step 1:

Complete the Provider Signup Form below. A valid NPI number is required for approval.

Step 2:

Wait for Approval
Our team will review your submission and verify your NPI number. Once approved, you'll receive confirmation that your provider account is active.

Step 3:

Request a Free Sample or Place an Order
After approval, visit our shop at https://curalysmd.com to:
• Request a complimentary sample of CuralysMD™ Eczema Relief, or
• Purchase CuralysMD™ Eczema Relief at your exclusive 30% wholesale discount

If you have any questions during the signup process or need assistance with your order, please don't hesitate to reach out.

We look forward to partnering with you.