Affiliates
Log in
Affiliates
Log in
Become an affiliate
Takes under 2 minutes. After you submit, we'll email you when your account is approved.
First name
Last name
Email
Phone
Business / organization (optional)
Affiliate type
Select one
Influencer
Clinic
Provider
Health coach
Community partner
Existing patient / referrer
Other
Social profiles
Optional, helps us approve you faster.
Add
No profiles added.
Preferred payout method
Select one
ACH
PayPal
Check
Decide later (manual review)
Tax form status
Not collected yet
W-9 requested
W-9 submitted
Approved
I agree to DirectCareAI's
affiliate terms, privacy rules, and anti-spam policy
.
I understand I may not make medical claims, guarantee outcomes, or represent myself as a healthcare provider unless authorized.
Create my affiliate account