Healthcare Providers Signup

Thank you for partnering with MaxGen Labs. Our focus is on food, fitness, and function, and we strive to provide you with relevant, clinically applicable genetic data that will allow you to create nutritional protocols for your clients.

If you would like to join our growing team of practitioners, please fill out the information below. If you are a licensed practitioner in New York or Maryland, we will be unable to open a direct account. You can, however, work with us as an affiliate. We do accept international practitioners who are able to use this type of testing. Please verify your country's laws. If you are not a licensed provider, please note that we have a robust affiliate option for you. This can be found on our website in the footer menu. If you have more than one office location, please fill out a form for each one.

We do require our practitioners have a card on file. Your information will be secure through our HIPAA compliant encrypted accounting software. Also, with your signature, you acknowledge that your information is accurate, and you give MaxGen Labs permission to open your practitioner account.

Our practitioner liaison will reach out to you with more information once your application is received. Please note, it takes 1-3 business days to process your application.