Add your business or practice to our Intracel Locator Sites

Intracel Provider Locator

Public information for patients looking for Intracel treatments in your area. We will use this on patient referral and provider locator websites. Submit a new form for each location.

Business Name*
Name of Primary Health Care Provider
optional
Prefix First Last Suffix
Specialty
Phone*
Email
Website
Address*
Street Address Address Line 2 City State ZIP Code
Short Description of your business or practice*
Enter one or two short paragraphs about your practice.
Intracel Testimonial*
Enter one or two sentences about how Intracel can help your patients.
Can we use your testimonial to promote Intracel?
Check the button below if we can use your testimonial in addition to your provider locator post to promote Intracel to the public. If we use it we will supply you with 1 box of Intracel tips.
- Yes, you may use my testimonial to promote Intracel
Upload your logo
Please upload a PNG, GIF, JPG, or PDF of your logo if you want us to add it to your patient promo post.
Accepted file types: jpg, gif, pdf, png.
Name of person submitting the form*

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