STEP ONE - Become a "Clear" Line (TM) health professional.

Greetings from Future Body Sciences, Inc.,

Thank you for your interest in becoming a "Clear" Line (TM) health professional. We are all about our passion to save lives and we look forward to the opportunity to partner with you as we together seek to heal our families by bringing the body back to a baseline of health. There are two to three simple steps that you will need to complete before you can become a "Clear" Line (TM) health professional. After you complete these steps we will review your paperwork and contact you with the remaining information that you will need in order to purchase the "Clear" Line (TM). You should see a link to the first step below, the Practitoner's Billing and Shipping Form. When you are ready to register, click on this link and it will take you to an online registration form. Please fill out this form and, when you are finished filling in your information, click the Submit Form button located at the bottom of the page. We will receive your information immediately over a secure network. The Reset Form button is also available if you would like to start over for any reason. (Note: If the Submit Form button does not work for you, we recommend that you upload the latest version of your Safari, Yahoo, Google Chrome, Microsoft Explorer or Firefox Mozilla Internet browser and try again.)

Practitioner's Billing and Shipping Form