Application

Apply to the network.

Already practicing men's health? Use this form to apply for directory listing without purchasing the certification course. Or select the course pathway and we'll send next steps to your email. Under two minutes.

Who you are

First name *

Last name *

Email *

Phone (optional)

Your practice

NPI (optional)

State of licensure (optional)

Practice website (optional)

Pathway

Buy the certification course ($1,497)10-module online curriculum. We'll follow up with enrollment details.

Directory only — already trained ($99/mo)Already practicing men's health. Skip the course, apply for directory listing directly.

Text me about my application

By checking this box, you agree to receive recurring automated text messages from GentsMed at the phone number provided — about your request, appointments, orders, and account. Consent is not a condition of any purchase. Message and data rates may apply. Message frequency varies. Reply STOP to opt out or HELP for help. See our SMS Terms and Privacy Policy.

We'll use your details to evaluate your application and contact you about next steps.