Wellbody Platinum Team Member Form

TEAM MEMBER REGISTRATION

For the Platinum WellBody System for Dental Professionals

The Platinum WellBody System includes access to the online video training series for FOUR team members. In order to set up and activate access for each team member, please enter name, job & email below.
Your Name*
First Last
Your Email*
List ALL 4 Team Members Below (including doctor)*
Enter the information below. Click on the "+" icon to add more team members to your consultation.
Name Email Position (DDS, RDH, CDA, Office) Height (For ball sizing)

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Name	Email	Position (DDS, RDH, CDA, Office)	Height (For ball sizing)