Create Professional Account

Welcome to Restorative Formulations!

Our products are available exclusively through Licensed Health Care Professionals. To create a new account and obtain a user name and password, please complete this registration form.

To activate your account immediately, please call 1-800-420-5801 Monday thru Friday 10am – 5pm EST.

Please contact us by phone if you do not have one of the Licensed Medical Degrees listed in the form.

If you are sharing a clinic telephone number with other doctors, please be sure to use your own unique telephone number.


I agree to the terms and conditions in the Restorative Formulations Minimum Advertised Price ("MAP") and Internet Resellers Policy.