Free Global Shipping! Free Express Shipping on Orders Over US$200 Dismiss

Skip to content

Search for:
Login

Popular Topics
Shop
About Us
Support
- Contact My Vagina
- Treatment instructions
My Programs
- All Programs
Ask Aunt Vadge
Schedule Consultation
Practitioner
- Apply for Practitioner Access

How to apply for My Vagina practitioner access

Please fill out the details below and we'll review your application shortly!

"*" indicates required fields

Email*

Clinic, organisation or business name*

Name*

First Last

Discipline

Naturopath

Gynaecologist

Physician/Medical Doctor

Integrative Doctor

Functional Medicine Doctor

Nutritionist/Dietician

Physiotherapist

Nurse

Nurse Practitioner

Midwife

Osteopath

Acupuncturist

Sexual Medicine Specialist

Occupational Therapist

Herbalist

Traditional Chinese Medicine (TCM) Practitioner

Other

Psychologist

Other disciplines*

Location*

City State / Province / Region ZIP / Postal Code

Country*

Phone incl. country code*

To confirm your identify, please provide your online practitioner profile/registration listing, or upload a supporting document like a qualification*

I'm sharing an online profile

I'm uploading a supporting document

URL of practitioner profile or other professional listing*

Upload supporting document (jpg, png, pdf)*

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 12 GB.

This field is hidden when viewing the form

Practitioner type

Doctor, naturopath, etc

Comments

This field is for validation purposes and should be left unchanged.

© Copyright My Vagina Pty Ltd

Contact My Vagina
Policies
About My Vagina
Careers
Become a Wholesaler
Speak to an expert

The information on this website is not a substitute for your doctor or other healthcare professionals. For more information, see our Privacy Policy and Disclaimer.

176 High St, Northcote, 3070, Victoria, Australia

Sign Up to Our Newsletter

Search for:
Popular Topics
Shop
About Us
Support
- Contact My Vagina
- Treatment instructions
My Programs
- All Programs
Ask Aunt Vadge
Schedule Consultation
Practitioner
- Apply for Practitioner Access
Login

SHARE YOUR CART

0