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Please fill out the form below. You will then receive a welcome email with login instructions. Thank you.
Are you a consultant for an organization already contracted with VRX?*
Are you an owner/partner or administrative staff person for an organization already contracted with VRX? *
Please select the National, Regional, or District Consulting Organization that you are currently associated with:
By sending the above data, I represent that neither I nor any of my employees or independent consultants is a practicing physician or will provide services and receive a fee to any physician who is an Immediate Family Member. "Immediate Family Member" means: spouse; birth or adoptive parent, child or sibling; stepparent, stepchild or stepsibling; in-law; or grandparent or spouse of grandparent. I also swear that I have not been convicted or plead no contest to a felony or misdemeanor involving fraud, theft, dishonesty, or breach of trust within the past 10 years.