Add Your Business - Wellistic

PLEASE READ THE FOLLOWING INSTRUCTIONS FIRST:

Thank you for choosing to be part of the Wellistic community.

BEFORE YOU FILL OUT THE FORM, please search through the database and if you profile already exists, you can click the “Claim Your Profile” link and follow the steps.

If your profile does not already exist, you can submit the following form to be considered to be added. We will review the submission and if added, you will be notified with a link to claim your profile. Please note that at this time Wellistic’s focus is on U.S. based healthcare practices and fitness-oriented service businesses. We do not focus on senior care, home healthcare, urgent care or treatment centers, hospitals, or product-oriented retail stores (such as apparel stores, CBD shops, hearing aid/repair, optical only or pharmacies) as there are other sites that serve those markets already.

Business or Practice Name *

Contact Name *

First

Last

Enter the first and last name of the person who will manage this profile

Email *

Enter the email address where you will notified of your application status

Phone Number *

Primary City *

For multiple locations, only enter the primary.

Primary State *

For multiple locations, only enter the primary.

Website *

Select Your Primary Subcategory *

We recommend you select one subcategory that reflects the business and one subcategory that reflects the condition you help with.

Select Your Secondary Subcategory (Different from Primary) *

We recommend you select one subcategory that reflects the business and one subcategory that reflects the condition you help with.

Number of Locations *

Confirm Your Business Meets Guidelines *

I confirm that my business is NOT a senior care, home healthcare, urgent care or treatment centers, hospitals, or product-oriented retail stores (such as apparel stores, CBD shops, hearing aid/repair, optical only or pharmacies) as these will not be listed.