Create an Account

Thank you for your interest in ENERGIQUE.

We look forward to the opportunity to work with you and your team, and to become your “go to” partner for all your natural product needs and support. Sign up for your PROFESSIONAL account profile today. Once approved, typically within 24 hours, you receive an email that will give you access to our complete catalog, reference guide and your own shopping cart 24/7.   For assistance or additional information, contact us at  800-869-8078 or Inquiry@EnergiquePro.com

Energique® provides multiple product modalities so you can personalize and tailor your patient treatment. With over 600 products to select from, our broad selections of Herbal Extracts, Homeopathic Remedies, Medicinal Essential Oils and Nutritional Supplements are formulated in-house with quality ingredients and proven technology to provide the best health results.

We invite you to register and begin using EnergiquePro™ for online ordering, product updates, professional resources, and more.

Setting up a new account is easy.  Fill out the form below to gain access to the EnergiquePro catalog, special promotions, the EnergiquePro Therapeutic Guide, and “Ask the Doctor”.

What you’ll see at EnergiquePro …

  • Easy browsing by product and category
  • Search for products by ingredients
  • Online ordering
  • Product information and guides
  • Your one-stop site for optimal health products

Only registered practitioners can order directly from our online catalog, and your patients and the general public who visit the site are encouraged to seek health care through their naturopathic and homeopathic doctors, chiropractors or other experienced health professionals.

 

New Account Application

* required fields

* First Name

* Last Name

* Company

Title

* Primary Phone Number

Mobile Phone Number

* Email

Website

* Address (Bill To)

* City

* State

* Zip

Billing Contact

Ship To Address (if different than bill to):

Address (Ship To)

City

State

Zip

Requires Patient Drop Ship?
YesNo

Energique Rep Affiliation

Primary Business/Practice Type?

Primary Business Other:

Secondary Business/Practice Type?

Secondary Business Other:

Qualifying Credentials

License State:

License Number:

TIN Number (if no license is available):

Image of License or Diploma (if available):

How did you hear about us?

Other:

* Please Enter the Code
captcha

I agree with the Terms & Conditions.


The statements on this website have not been evaluated by the Food & Drug Administration. None of the products contained herein are intended to diagnose, treat, cure, or prevent any disease. Energique Pro requires that customers log in to certain areas of our website. Portions of the website are only available to certified healthcare professionals, and Energique Pro reserves the right to limit access to only them.

© Copyright 2017, EnergiquePro. All Rights Reserved.

Continue Shopping

View Cart