Proteoderm: Physician Partnership Program

PHYSICIAN PARTNERSHIP PROGRAM

Grow your practice and revenue

The Physician Network enables physicians and licensed health care providers
to join with Proteonomix, Inc to expand their practices and services. Now
they may offer new products to enhance or replace other therapies such as
Botox TM, various fillers, applications, and treatments. Proteoderm brings
patients higher satisfaction and results.

The Physician Network assists with referrals to physician offices, and helps
promote physicians’ practices and incomes, while providing state-of-the-art,
lab grade cosmeceuticals for their patients.

Put Proteoderm to work for you and your patients!

Proteoderm is currently accepting new applications to participate in the Phyician Partnership Program.
To be contacted with complete details and information, please fill out the following form:

First Name:

Last Name:

Email:

License Number:

State of
License Number:

Specialty:

PERSONAL INFORMATION

PRACTICE INFORMATION

Address 1:

Address 2:

City:

State:

Zip:

State:

Zip:

Phone: