Doctor Registration

Join the Nuvoo Eyes professional network

Personal Information

Tell us about yourself

First Name *

Last Name *

Email *

Phone *

License Number *

Your professional license number (digits only).

Store Name *

Referral Name *

This will be your personal referral link.

Password *

Confirm Password *

Complete Your Registration

Download, sign, and wait for approval

Step 1: Download the Authorization Form

Click the button below to generate and download your personalized registration form as a PDF.

Step 2: Sign the Form

Print the PDF, sign it by hand, and scan or take a clear photo of the signed document.

Step 3: Upload Signed Form

Upload the signed document below to complete your registration.

Your registration will be reviewed by the Nuvoo Eyes team. You will receive an email once your account has been authorized. This process may take 1-3 business days.

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