For Medical Professionals

Professional Access Application

PHI Peptides supplies licensed medical professionals through the NADclinic Pro Marketplace. Complete this short application to verify your credentials and request access.

Medical Eligibility Notice

PHI Peptides are currently available exclusively to licensed physicians. Clinics and practices without a physician applicant may register by nominating a licensed physician who will oversee all orders and clinical use.

All fields are mandatory unless marked optional.

Section 01

Applicant Details

Tell us who is applying and where you practise.

First name

Last name

Role

Licensed Physician Clinic Owner / Director (non-physician) Other Healthcare Professional

Specify profession

Clinic name

Specialty / Clinic focus

Please specify specialty

Professional email

Phone number

Country of practice

Licence / registration number

Issuing regulatory body

Section 01B

Nominated Physician

Nominate a licensed physician who will oversee prescribing, clinical governance, and orders.

Physician full name

Physician professional email

Physician licence / registration number

Issuing regulatory body

Physician country of practice

I confirm that this nominated licensed physician has agreed to oversee all peptide prescribing, orders, and clinical protocols for our practice.

Section 02

Clinical Experience with Peptides

Help us understand your current clinical use and experience.

Do you, or your nominated physician, currently use peptide therapies in clinical practice?

Yes No, but we intend to No

Years of experience with peptide therapies

None Less than 1 year 1-3 years 3-5 years More than 5 years

Section 03

Education & Regulatory Awareness

Your education and familiarity with the regulatory landscape.

Have you completed any formal education or certification in peptide therapeutics?

Yes No

Course title and education provider

Would you be interested in an accredited programme in peptide therapeutics?

Yes, please send details Possibly, at a later stage No

How familiar are you with current peptide regulations in your country of practice?

Fully familiar Partially familiar Not familiar, I would welcome guidance

Section 04

Declarations & Consent

Please review and confirm the declarations below.

I confirm that the information provided is accurate and complete. I understand that PHI Peptides are currently available to licensed physicians only and that access is subject to credential verification. I consent to NADclinic Group processing my data, and that of any nominated physician, for verification and account management, in accordance with the Privacy Policy. I would like to receive clinical updates, education and product information. Optional

Your information is submitted securely and reviewed by the NADclinic verification team.