Partner Application

Request access to the partner portal

A short application so we know who we're speaking with. We review every submission personally — typically within one business day. Approved practices receive a portal invitation and a partner agreement to review.

Who you are

Step 1 of 3

The name and contact details that will appear on your partner agreement.

Required

Required

Your portal invitation and agreement are sent here.

Enter a valid email address

Required

By submitting, you agree Pure Advanced Biologics may contact you by email, phone or text about your application and account. Message and data rates may apply. Reply STOP to opt out. Privacy Policy.

Required

Your practice

Step 2 of 3

How your practice appears on the agreement and in our records.

Required

The fastest way for us to verify your practice.

Where we ship biologics. This becomes the address on file for your orders.

Required

City and state fill in for you.

Required

Required

Required

Leave blank if your role does not carry a National Provider Identifier.

What you're looking for

Last step

So the right person follows up with the right information.

Which biologics interest your practice? •

Select at least one

Required

We couldn't submit that

Something went wrong on our end — your details are still on screen, so nothing is lost. Try once more, or reach us directly and we'll take your application by phone or email.

info@puremsc.com Admin & Support 928-928-0223

✓

Thank you, your application has been received.

✓  Application approved

Verified and approved instantly — no waiting period. Two emails are on their way to your email address

  • Your Onboarding Portal — secure login link
  • Your Provider Partnership Agreement — ready to sign

Choose how you'd like to move forward

Recommended · Instant approval

Sign now — your full Provider Hub opens the moment you do

You’re approved, so there’s no waiting and nothing to go looking for. Signing here opens the full Provider Hub — clinic pricing, ordering, the full biologics menu, Certificates of Analysis and patient materials.

One thing: it will ask for your name and email. Use this one — your email address. That is how the agreement finds the application you just submitted and fills itself in. A different address will not match, and your hub will not open.

Review & Sign Agreement

Opens in a new tab. Your name, that email, then sign — about two minutes.

Not this second? No problem — the same agreement is sitting in your inbox.

Still not sure?

Book a short call and we'll answer general questions about your practice. Your Onboarding Portal and the agreement stay in your inbox until you're ready.

Book a 15-Minute Discovery Call

While you wait for the agreement

Watch a quick tour of your portal: how courses, modules and lessons work, and what unlocks after you sign.

Watch the Portal Tour