Medical-Fitness Technicians
Certification
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Certification
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Professional MFT
Note: You must be connected to our Stripe payout system.
Complete this form to customize your own MFT Webpage.
Sample Webpage
*
Indicates required field
1. Your Name as you want it to appear:
*
First
Last
The "MFT" credential will be included.
2. Upload your Portait Photo:
*
.
3. The Name(s) of the local City(ies) where you provide your services:
*
Recommend 1-3 cities. Maximum of 5 cities.
List up to 3 Venues
Venue #1
(required)
4a. Name of Venue #1:
*
4b. Street Address of Venue #1
*
City & Zip are optional.
4c. Availability at Venue #1:
*
List typical Days(s) & Hour(s) if on a regular schedule week-to-week, or simply indicate "By Appointment."
Venue #2
(optional)
5a. Name of Venue #2:
*
5b. Street Address of Venue#2:
*
City & Zip are optional.
5c.Availability at Venue #2:
*
List typical Days(s) & Hour(s) if on a regular schedule week-to-week, or simply indicate "By Appointment."
Venue #3
(optional)
6a. Name of Venue #3:
*
6b. Street Address of Venue #3
*
City & State are optional.
6c. Availability at Venue #3:
*
List typical Days(s) & Hour(s) if on a regular schedule week-to-week, or simply indicate "By Appointment."
7. Do you want to give your clients the option to schedule an appointment with you at their Home or Gym where a surcharge may apply?
*
Yes
No
A "surcharge" is an added fee that you collect from your client depending on the time and distance of your client's preferred venue.
8. The Email Address where you want your Med-Fit Service Requests to be delivered when submitted:
*
9. Do you want to give your clients the option to give Feedback to OptiHealth Administration?
*
Yes
No
Highly Recommended.
10. Additional customization instructions for your webpage (optional):
*
If a surcharge applies, you will be provided a quote.
Submit