Decode Age: Pioneering Healthy-Aging Solutions for the Modern Age
Join our quest for longevity as a healthcare practitioner. Register now to access exclusive resources and opportunities, share your feedback to shape the future of longevity science, and unlock your potential for a healthier, happier life.

To enjoy our exclusive benefits, please ensure that the email address used during purchase is the same as the one registered with us.
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Email *
Name *
Phone Number *
Address *
State *
City *
Pin Code *
Select Type *
Name of Your Business
GST No.
Not needed for Individuals
What is your current medical specialization and qualifications?
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How many years of experience do you have practicing medicine?
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Are you currently practicing medicine or have you retired?
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How satisfied are you with the level of customer service and support you've received from our team?
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How long have you been using our longevity supplements from Decode Age and what benefits have you noticed so far? *
What is your understanding of Decode Age's mission and products/services?
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Are you comfortable using technology and digital platforms for communication and business operations?
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Are you interested in networking and collaborating with other healthcare practitioners through the Decode Age community?
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Are you willing to comply with all the necessary documentation and legal requirements to become a reseller or member of the Decode Age community?
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Are there any new products or services you'd like to see us offer in the future that would be beneficial for your longevity goals?
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NPI or License Number
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In case of doctors or nutrition this is compulsory. (Note: all the information provided will be verified)
What e-mail ID would you use to purchase? *
We will add you to our exclusive Health Care Practitioners list for top offers & unbeatable discounts on premium products. Elevate your practice today!
Terms and Condition:
Ownership of Data: The data collected and provided by the doctors and healthcare practitioners for promotion and collaboration will remain their property.

Confidentiality: The data provided by the doctors and healthcare practitioners will be treated as confidential and will not be shared with third parties without their consent.

Data Use: The data provided by the doctors and healthcare practitioners will be used solely for promotion and collaboration purposes related to the products and services offered by Decode Age.

Compliance: All parties will comply with applicable laws and regulations related to data privacy and confidentiality.

Limitation of Liability: Decode Age will not be held liable for any loss or damage resulting from the use of the data provided by the doctors and healthcare practitioners.

Termination: Either party may terminate the use of data for promotion and collaboration at any time, for any reason.
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