EXPERT SIGNUP

Join the ChickRx Team of Trusted Health & Wellness Experts

Create your professional profile and join our community discussions - it's a free and effective way to gain exposure for your practice, promote your expertise, maintain a dialogue with prospective and current clients, and build your business.

Required fields.

Full Name As you'd like it to appear on the site.
Example: Dr. Jane Smith

Professional Title Examples: Dermatologist OR Licensed Marriage & Family Therapist.

Confirm Email

Date of Birth

This is to ensure authenticity, but wont display on your profile.

Business Address

Street 1

Street 2

City

State

Zip Code

Business Phone

YOUR CATEGORIES

Select the category that best encompasses your expertise (2 max) (This informs which user questions we highlight for you)

PROFESSIONAL QUALIFICATIONS

Position

Area(s) of Expertise

(Select all that apply)

LICENSES

EDUCATION & TRAINING

Please list your degrees and training programs and where you completed them.

Example:
B.A. University of Pennsylvania
MD, Stanford University Medical School
Residency, University of California San Francisco

EXPERTS YOU RESPECT

We want to grow our community by building a team of respected experts. Please tell us who would be a great health/wellness expert for ChickRx. (For each expert, please include their name, position, and email address or phone number)

ChickRx may use my name when contacting the people I've listed.

MORE INFORMATION (OPTIONAL)

About Me (1200 characters left)

Briefly tell the ChickRx community about yourself
(background, professional and/or personal
interests, etc.)

Professional Website

Name of your Practice/Business

Practicing Since

Affiliated Hospital(s) If multiple, separate with commas.

Research/Publications If multiple, separate with commas.

Language(s) Spoken If multiple, separate with commas.

All of the information I have provided is truthful and accurate. ChickRx may contact any of the boards, organizations or institutions I've listed for confirmation.