Practitioner Register with Nutriscript New Zealand & Australia

Create an Account

Nutriscript is for health practitioners only. Fill out the form below to create your account. We aim to have your account opened within 72 hours*.

*Processing times may be longer during busy periods or holidays.

Step 1 of 3

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Your Information & Qualifications

Name*(Required)

First Name Last Name

What is your Profession?(Required)

Acupuncture

Ayurvedic

Chinese Herbal Medicine

Chiropractor

Dental Practitioner

Dietician

Exercise Physiologist

Health Coach

Herbalist

Homeopath

Integrative GP/Doctor

Naturopath

Nutritionist

Osteopath

Pharmacist

Physiotherapist

Psychiatrist

Registered Nurse / Midwife

Specialist Medical Practitioner

Student

Veterinary Surgeon

Other

Clinic Focus/Specialty(Required)

Adrenal

Ageing

Allergies

Animals

Athletes

Autoimmune

Cancer

Cardiovascular

Children

Detoxification

Fatigue /CFS

Fertility / Pregnancy

General

Gut

Hormones

Menopause

Men's Health

Mental Health

Metabolic Health

Musculoskeletal / Joints

Nervous System (Stress, burnout)

Neurological Disorders

Oral Health

Skin

Sports / Fitness

Thyroid Conditions

Weight Loss / Management

Women's Health

Other

Where are your patients located?(Required)

New Zealand

Australia

Profession(Required)

Clinic Focus/Specialty(Required)

Relevant Professional Memberships/Additional Information

Proof of Qualification*(Required)

Please upload your qualification certificate, this could be a copy of your Degree or Diploma.

Drop files here or

Accepted file types: pdf, png, jpg, Max. file size: 20 MB.

Proof of Study (for Students only)

This should be a letter from your college confirming your enrolment, course, and year.

Drop files here or

Accepted file types: pdf, png, jpg, Max. file size: 20 MB.

Additional Documents (PDF upload)

This might be an association membership cert, transcript, or an invoice from your association.

Drop files here or

Accepted file types: pdf, png, jpg, Max. file size: 20 MB.

Student Information
As a student, you have access to ordering supplements for personal use only. Our products are not to be used to prescribe/treat patients unless under guidance of a tutor in your final year or your qualifications are completed and sent through to us here at Nutriscript.

The terms of gaining access as a student to Nutriscript are as follows. Please tick and sign below if you agree to the terms.

student first consent(Required)

I agree to use this account for personal use only during my first and second year of study.(Required)

student second consent(Required)

I understand that I am only able to order supplements for patients under the guidance of my tutors in my third year.(Required)

student third consent(Required)

I understand that I am only able to order testing under the guidance of my tutors in my third year.(Required)

student fourth consent(Required)

I understand that I do not have access to patient ordering until I have finished my studies and am fully qualified.(Required)

student fifth Consent(Required)

I understand that if I do violate any of the above terms that Nutrisearch Ltd will terminate my Nutriscript account.(Required)

Nutrisearch accepts no liability for any loss, damage or consequence resulting directly or indirectly from the abuse of these terms of use.

Tutor Details
Please provide the name and contact details of your Tutor.

Name

Phone Country Code(Required)

Phone

Qualification(s)

Profession (Other)*(Required)

Account Information

How would you like your account setup?

Personal (Account under my name)

Business (Account under my business name)

Full Legal Name of Business

Address Line 1*(Required)

Address Line 2

Town*(Required)

Region*(Required)

Country*(Required)

Postcode*(Required)

0 of 4 max characters

Delivery instructions

Is this a rural address?

Yes

Clinic Phone Country Code(Required)

Clinic Phone

Mobile Number(Required)

Email*(Required)

This is the email address that will be your Nutriscript login.

Account Contact

Who we should contact regarding your Nutriscript account.

Account Contact Email

Alternate email for contact person (if applicable).

Bank Account Name(Required)

You will earn commissions on patient scripts, please fill out the account name & number you wish your commission to be paid into.

BSB Number(Required)

Bank Account Number(Required)

Business Details(Required)

Sole Trader

Partnership

Company

Trading Trust

For Companies, Partnerships & Trading Trusts

Please list the full name and address of the Proprietors/Directors/Partners

Business Validation

Products and testing may only be prescribed to patients within the qualified health professionals’ scope of practice and according to the terms, conditions and expectations of each individual brand. This application will be assessed and reviewed to determine if the applicant meets our minimum qualification requirements to obtain an account with us.

I meet all the criteria outlined above(Required)

I hereby certify that I am the Proprietor, Company Owner or Director for completing this registration.(Required)

Terms & Conditions
Please check the box to confirm you have read and agree to the terms and conditions linked below.

Nutriscript's Terms and conditions(Required)

I agree to Nutriscript's terms and conditions.*, and the brand-specific terms listed below:(Required)

Orthoplex terms and conditions.
Integra Nutritionals terms and conditions.
Metagenics terms and conditions.
BioMedica terms and conditions.

Please click on the link and read our terms first before accepting.

This field is hidden when viewing the form

Integra Nutritionals terms and conditions

I have read & agree to Integra Nutritionals terms and conditions. Only required if you wish to access Integra Nutritionals products.

This field is hidden when viewing the form

Metagenics terms and conditions

I have read & agree to Metagenics terms and conditions. Only required if you wish to access Metagenics products.

This field is hidden when viewing the form

I have read & agree to BioMedica terms and conditions.

I have read & agree to BioMedica terms and conditions. Only required if you wish to access BioMedica products.

Additional Information

Any specific areas you would like support with?

How did you hear about Nutriscript?

Which companies’ products or testing do you currently use?

What are your areas of interest?

Keep an eye on your inbox!

Once your application has been approved, you'll receive an email to set your password.

Create an Account

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