Become a RockTape Medical Professional

Get Listed on our Locator

Have questions? Call us at (416)- 477-0768. We need some details about your location.
Your Name*

First NameLast Name
Your Email*
Phone Number*

Area CodePhone Number
Your Province*
Purchasing Information

You must make regular purchases of RockTape to be listed on our locator.
I purchase from

RockTape.caVitality DepotMedical TronikCMCCDiamond AthleticsMedWestPure CareImplus CanadaOther
Location Information

We use this information to list you on our locators. Please ensure it's accurate.
Location Type*

MedicalRetailBoth
Clinic Name*
This can be a name (e.g. Sports Chiropractic of Toronto) or your name.
Clinic Phone*

Area CodePhone Number
Clinic E-Mail*
Clinic Website*
Clinic Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
FMT Certifications

For medical professionals, please include your RockTape Certification details.
Have you completed an FMT or PMT Certification?*

YesNoNo, but I plan to
If yes, what FMT Course did you attend?
Include class location & date, if possible.
If yes, what FMT Courses did you attend?*

FMT BasicFMT Performance or AdvancedFMT BladesFMT Blades AdvancedFMT Movement SpecialistFMT Movement Specialist AdvancedFMT Special PopulationsFMT RockPodsFMT RockFlossFMT CanineFMT EquineOther
If yes, what FMT courses have you completed?

FMT BasicFMT PerformanceFMT BladesFMT Special PopulationsFMT RockFlossFMT RockPodsFMT Movement Specialist
By submitting this application, I verify that I will be purchasing product for use in my practice only, and product I purchase with my medical discount will not be sold via an online store or any 3rd party eCommerce marketplace.
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Get Listed on our Locator

Purchasing Information

Location Information

FMT Certifications