Orgain Ambassadors are our strongest allies in the fight against low-quality nutrition products

We're committed to supporting our Ambassadors with samples, coupons, special offers, resources, and continuing education that enable them to make a positive impact in the lives of their patients or clients.

Orgain Healthcare Professional Welcome Kit

If you are a credentialed healthcare professional providing direct patient care at a healthcare practice or facility, follow the simple steps below to activate your Orgain Ambassador Account so you can get access to our on-line sampling portal.

Become an Ambassador In 3 Easy Steps:

Step 1

Complete and submit the Ambassador Account Request form below.

Step 2

Check your email inbox for an account activation email from Orgain Healthcare Support. (usually sent within 48-72 hours)

Step 3

Click the link in the account activation email, set you password, and log on to the Ambassador Sampling Portal.

Already received an Ambassador Welcome Kit and would like to get access to our Sampling Portal so you can receive ongoing samples to share with your patients or clients?

Activate Your Ambassador Account Now.

**Please do not submit the form below more than once. Duplicate requests will not be honored**

Contact Information

Are You A Healthcare Professional? *

Please provide your name, job title and email address here, and complete the remainder of the form with the information of the healthcare professional for whom you are submitting the request.

Your Name

Your Email

Your Job Title

Complete the fields below with information about the healthcare professional.

First Name *

Last Name *

Email *

Professional Information

Professional Credentials *

License / Registration Number *

Job Title *

Please select how frequently you recommend meal replacement / high protein products (shakes, powders or bars) to patients or clients.

Recommendation Frequency *

Please select your area of practice and we'll send a welcome kit that matches the needs of your patients or clients.

Choose Specilization *

Check here if you want vegan samples only.

Facility Information

Please provide the following information for the primary facility or practice location where you see patients or clients.

Practice / Facility Name *

Practice Website

What Is Your Facility Type? *

Facility Address

Please provide a physical address for your facility or practice. We are unable to ship to PO boxes. While you are required to enter your facility address for verification purposes, you may select to have your Ambassador Welcome Kit shipped to your home or alternate address.

Street Address *

Suite / Unit (Optional)

City *

State *

Zip *

Shipping Information

Ship Welcome Kit To Facility Address.

Ship Welcome Kit To An Alternate Address.

Please provide an alternate shipping address. We are unable to ship to PO boxes.

Street Address *

Suite / Unit (Optional)

City *

State *

Zip *

Additional Information

How Did You Initially Learn About Orgain? *

I Agree to the Orgain Sample Program Terms & Conditions

Orgain Exhibiting at Upcoming Events

Canceled

July 11-14th, Boca Raton, FL

85th Florida Food and Nutrition Symposium

FL FANS has a proven track record of providing science-based, cutting-edge sessions presented by recognized experts in nutrition. Learn from more than thirty national and international speakers providing over 20 hours of continuing education.

Learn More >

Virtual

Oct 2-6th, San Diego, CA

American Academy of Pediatrics 2020 National Conference

The AAP National Conference & Exhibition is the premier venue for pediatric health care professionals to come together and share their passion for the health of all children. The meeting draws more than 10,000 professionals and offers over 350 sessions in 70 topic areas from interactive, hands-on workshops to thought-provoking plenary sessions.

Learn More >

Virtual

Oct 17-20th, Indianapolis, IN

Academy of Nutrition and Dietetics' Food & Nutrition Conference & Expo 2020

Each fall, the Academy of Nutrition and Dietetics sponsors the world’s largest meeting of food and nutrition experts — more than 10,000 registered dietitian nutritionists, nutrition science researchers, policy makers, health-care providers and industry leaders attend the annual meeting — and address key issues affecting the health of all Americans.

Learn More >

Have Questions?

A member of our Orgain healthcare team can help.

ASK A QUESTION DOWNLOAD CATALOG

Free Samples for Dietitians -Pediatrics Professional Samples

Request Ambassador Account

Orgain Exhibiting at Upcoming Events

Have Questions?

A member of our Orgain healthcare team can help.