For practitioners / Programme application

Apply to the Unived Practitioner Programme.

A short application. Credentials verified within 7 to 10 working days. Terms
shared by email if your application is approved.

If you're new to the Programme, the Programme page documents how it works — eligibility, the two models (bulk purchase or online referral), the disclosure standard. Reading that first will make this application quicker.

Fill in what's relevant to your practice. Fields marked with an asterisk are required. Anything else is helpful context — leave blank if it doesn't apply to you.

What happens next

You submit this form.

We acknowledge receipt within 2 working days.

Credentials verification — 7 to 10 working days.

If approved, terms shared by email.

Section 1

About you

Basic identity. We use this only for application review and Programme communications.

First name *

Last name *

Email *

Use the address where you're reachable for Programme communications.

Phone *

City *

Country *

Section 2

Your credentials

We verify these before sharing terms. If you have multiple qualifications, list the most relevant one and add the others in the additional-context field at the end.

Practitioner type *

Primary qualification *

Year qualified

Registration / certification body

Registration / certification number

If you have one. We may ask for documentation later.

Section 3

Your practice

Where and how you work. The Programme is for practitioners doing real clinical or coaching work.

Practice / clinic name *

Practice setting *

Years in practice *

Speciality / focus area *

Website or professional profile

Optional. A practice website, hospital page, or LinkedIn helps us verify faster.

Section 4

Which model fits your practice?

Pick what you'd like to start with. You can change later or run both.

Bulk purchase for clinic stock

I dispense supplements directly to my patients in clinic. I'd like to stock at the Programme rate.

Online referrals — Unived ships direct

My patients order online with my code. Unived ships to them. I earn commission on the order.

Both — bulk for clinic + online for remote clients

I see patients in clinic and consult remotely. I'd like both options available.

I'm not sure yet — happy to discuss

Let's talk during the application review.

Section 5

A short note on how you'd use the Programme

Two or three paragraphs is enough. Which patients would benefit, which products you're already aware of, and any clinical context that's relevant.

How you'd use the Programme *

Anything else worth knowing

Optional.

Section 6

Consent & declaration

Required to submit. Please read each line.

By submitting you'll receive an acknowledgement within 2 working days. Application review takes 7 to 10 working days.

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