Active Elements

Getting Started Quickly

  • Enrol as an Active Elements professional member by completing this form (bona fide health care practitioners only) and access the professional information area of our website.

Professional Registration Form

In Business with Active Elements

You get instant FREE access to our:

  • Online Mineral Assessment System
  • Online Client Management System
  • Online Business Management System
  • Prescribing Information, Client and Business Management Resources
  • Mineral Therapy Education (full 4 module Program)

* Required fields.

Personal Details

* Title
* First Name
* Last Name
* Email Address
* Contact Phone
Country Code, Area Code and Local Number
* Country

Business Details

* Your Business Name

Professional Details

I’m not a professional, please give me assistant-level access only.

* Your Health Profession
Your Professional Association
(or institution if student)
* TGA / Govt. Registration / Professional Association / Student Number

If you are experiencing difficulty completing this form or require further information or assistance, please contact us.