Patient Activator

Not a Patient Activator Member yet?

Let one of our Membership Development Representatives tell you how to start activating your patients today. Please fill out the form to the right or download the form below and fax it to 1-310-215-6625. To speak with a representative, simply call us at 1-800-518-6675.

Download Interest Form (pdf)

Patient Activator

6060 Center Drive
7th Floor
Los Angeles, CA 90045

1-800-518-6675

Fax: 1-310-215-6625
E-mail: support@patientactivator.com

Interest Form Please have a Membership Development Representative contact me.
First Name*
Last Name*
Title
Office Address*
Office Suite/Floor
Office ZIP Code*
Office phone*
Cell Phone
E-mail*
Also send me your marketing and practice management e-newsletter.
	* Required information