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Register your clinic or pharmacy to access FDA-approved dermatology products, wholesale pricing, and fast, reliable distribution through DermaDistributor.

Download Payment Authorization Form

For secure and seamless transactions, please download and complete our Payment Authorization Form.
Once filled and signed, kindly email it to info@americanapd.com
to complete your account setup or process your payment authorization.

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Agreements

Checkbox (T & C)
Last updated: 2025-06-23
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Clear Signature
By signing below, I affirm that I have reviewed and agree to the Compliance & Terms and Conditions (version 2025-06-20), consent to use an electronic signature, and acknowledge it is legally binding under ESIGN/UETA.

The registration form cannot be used because either a username or email field is required to process registrations. Please edit the form and add at least the email field. https://dermadistributor.com/wp-admin/users.php?page=wpum-registration-forms#/