Home | Practitioner Home | Patient Home
Resources | Forums | Contact Us
 
Log In  |  Register
Register
 
The Crane Herb companies only sell to practitioners and students of Traditional Chinese Medicine (TCM) (and to patients with prescriptions from registered practitioners). For more information on eligibility, please see our customer statement.
Name:
Salutation:
First Name*:
Middle Initial:
Last Name*:
Suffix:
Web Access:
Username*:
Password*:      
Confirm Password*:  
HIPAA requirement: password must be a minimum of 8 characters and contain a combination of capital letters, lowercase letters, numbers, and punctuation characters.
Specialties:
Practice Information:
Clinic Name:
Practice Type:
Credential:
License Number:
State:
Expiration Date:
School:
State Association:
National Association:
Contact Information:
Phone/Ext.:
Alt. Phone:
Fax:
Email*:
Website:
Billing Address:
Address 1*:
Address 2:
City*:
State*: Zip Code*:
County:
Country:
  
Mailing Address*:
Address 1:
Address 2:
City:
State: Zip Code:
County:
Country:
  
Shipping Address*:
Address 1:
Address 2:
City:
State: Zip Code:
County:
Country:
  

*Required

Students:
FAX a copy of your acupuncture school's Student ID to (508) 539-2369, or email a copy to info@craneherb.com.

Practitioners:
FAX a copy of your state license to (508) 539-2369, or email a copy to info@craneherb.com.
For states with no licensure, FAX or email a copy of NCCAOM and graduation diploma.


 
  © 2017 Crane Herb Company. All Rights Reserved.   |   Policies   |   Security & Privacy