Provider Sign-Up - PursueCare | Telehealth careers

Addiction Recovery Services
- Patient Sign-Up
Patient Resources
For Partners
- Partner Login
Pharmacy
Contact

Provider Sign-Up Form

To register as a Provider, please fill out the request form below and we'll have a representative reach out to you.

- Your Name*
- Your Email*
- Phone
- States Licensed In*
- Type of License*
- If other:*
- How did you hear about us?*
- If other:*
Message
CAPTCHA

This website may use cookies to improve your experience. You can opt-out if you wish. Cookie settings ACCEPT

Cookies Policy

Privacy Overview

This website may use cookies to improve your experience while you navigate through the website. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We may also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may have an effect on your browsing experience.

Necessary Always Enabled

Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.

Non-necessary

Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.

Chat with usLiveChat