Practitioner Sign Up

To become a Noctilessence designated health care practitioner, please complete the online form below which requires an upload of a copy of  your license, diploma or certificate. Once you have completed the form you will receive an email within the next 24 hours with your password for ordering wholesale. Thank you for your interest in reselling Noctilessence inhalation patches to your patients/clients.

If you have any questions, please contact us at

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