Create your VIVUS Health profile

All fields are required unless specified

Select from the following:

I am a consumer I am a Healthcare Provider

Email Address (This will also be your username)

Confirm Email Address

Enter Password (Must be at least 6 characters)

Confirm Password

First Name

Last Name

Street Address

Unit, Apt, Suite, Bldg

City

State

Zip Code

Phone Number (Omit spaces and parentheses)

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