Colorescience Partner Form
Thank you for your interest in Colorescience! We are thrilled at the opportunity to partner with you and to learn more about your practice!
Colorescience is dedicated to supporting our partners with strategic marketing and business tools to help grow your medical practice.
Becoming our partner includes exclusive benefits, see for yourself below:
+ Dedicated partner relations representative
+ Partner online portal
+ Continuing education with the Colorescience Professional Academy
+ Participation in our exclusive Lasting Beauty Rewards consumer loyalty program
+ Partner locator listing on Colorescience.com
+ Staff discount program
+ Free ground shipping on orders above $1,500
Please take a moment to fill out a few questions for us to get to know you better. Expect the questionnaire to take up to 10 minutes to complete.
Practice Name *
Practice Type *
Primary Contact First Name *
Primary Contact Last Name *
Role in Practice *
Practice Address 1 *
Practice Address 2
Zip Code *
Phone Number | Best Availability *
Website URL (if applicable)
Social Media Handles (if applicable)
How did you hear about Colorescience? *
Colorescience EventTrade Publication Industry Referral GaldermaLumenisHydraFacial ASAPSSSPSCSTouchMDOther
How many patients come through your practice per day? *
What patient concerns do you treat in your practice? (Select all that apply) *
Anti-agingHyperpigmentationRedness (Acne/Rosasea)Post ProcedureEye CareOther
What percentage of patients in your practice are treated for Anti-aging? *
What percentage of patients in your practice are treated for Hyperpigmentation? *
What percentage of patients in your practice are treated for Redness (Acne/Rosacea)? *
What percentage of patients in your practice are treated for Post Procedure? *
What percentage of patients in your practice are treated for eye care? *
What other skin care lines do you carry? *
Are you the business owner? *
Why is now a good time to bring Colorescience into your practice? *
What is the ideal time frame on bringing our brand into your practice? *
Do you currently have an inventory management process? *
Is skin care currently a meaningful revenue builder for your business? *
Are you open to changing your post procedure protocols?
Thank you for taking the time to let us know you better!