Please use the form below to register for a Provider Account. Providers must be registered healthcare professionals or trainers, and will have to provide a registration number to access clinician pricing for Dynamic Tape.

  • About You

  • Lowercase letters and numbers only
  • Minimum length of 6 characters.
  • Please include your cell phone's country code
  • About Your Business

  • Seminars

    • Billing Address

    • Shipping Address