Membership Checkout

Membership Registration

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Membership Information

You have selected the Doctor membership level.

Join as an IW Method Affiliate Doctor
Become part of the IW Method network and gain access to a trusted system for supporting your patients’ wellness. As an affiliate doctor, you can recommend the IW Method to your patients and collaborate with our team to help them achieve better health outcomes.

The price for membership is $0.00 now.

Account Information

Username

Password

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First Name

Last Name

Email Address

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Extra Personal Information (Doctord Only)

Tell us about yourself

Full Name

Please tell us your real name or the professional name you use as a doctor (no pseudonyms

Title / Credentials (e.g., DVM, MD, ND, etc.)

Date of Birth

Profile Photo

Profile Bio or Introduction

short paragraph to be used on your public listing if applicable

Social Media Links

LinkedIn, Instagram, etc. one linke per line

Professional Details

Please provide us with some information about your practice so we can best understand your services.

Clinic / Practice Name

Type of practice

Please tell us about about the type of practice setting and employment arrangement you are working in.

Specialty / Area of Practice

Clinic/Business Address

Please tell us the full ddress or your practice

License Number

Issuing Authority / Licensing Body

Years in Practice

Clinic Website

Business Contact Information

Professional Email

Phone Number

Preferred Contact Method

Email, Phone, WhatsApp

IW Method Alignment

How did you hear about the IW Method?

How did you come to know abowt IW Methord?

Why do you want to join as an affiliate doctor?

short paragraph or dropdown options

Have you used or recommended the IW Method before?

Yes/No, with optional details

Agreement & Verification

Upload Professional License / Certification

Terms and Conditions Agreement

Yes I agree with IW Methord Tems and Conditions
No I disagree

Consent to Receive Updates and Resources

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Payment Information

Card Number

Expiration Date

Security Code (CVC)

I agree to the Terms and conditions

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