Become a Genius

The first step to becoming an Aesthete Genius is providing us more information about you. In the interest of our clients we validate all practitioners that wish to partner with us. Once we have collected and verified your information we will inform you of next steps.

Personal information

Please fill out the form below using your personal information. You will use the email and password entered to log into Aesthete Genius once accepted. We will use this information to validate who you are.


Practice information

Provide the name and address of your practice. We will use this information to validate and verify your identity and practice standing.


Estimated cost

/mo*

Review your information

If you're satisfied with the changes made you may submit the form, otherwise feel free to make any edits.


Personal information

Email
Password ••••••••
Name
Phone
Designation
Referral method


Thank you for signing up

We'll take a few business days to review your information. If we require more information we will reach out to you using the contact information you provided. If you have any questions you can contact us at support@aesthetegenius.com.

You may now check your account status by using the email address and password you supplied earlier and logging into the system.

Already registered? Log into your account