NeuroScience chooses to work exclusively with licensed healthcare providers. Those eligible may complete the below application for an account. You will receive an email confirming we received your application.
* required field
Primary Business Address
You must enter a valid email address
Please upload a copy of your Healthcare Provider License
NeuroScience products are taxable in some states. I acknowledge that I am registered with my state to purchase products from NeuroScience with sales tax exempt status. I will complete the documentation that is sent to me so that I will not be charged sales tax when I order products from NeuroScience.
Help Us Get to Know Your Practice
Once your application is processed, you will receive an email to acknowledge and sign the NeuroScience Terms and Conditions, Product Resale Agreement, and MAP policy via DocuSign.
If you need assistance getting started, call (888) 342-7272 or email email@example.com