Provider Account Request

Provider Account Request
This form is for providers who are affiliated with current MAVEN Project partner clinics.  If your clinic is not an active partner, but you are looking to become one - please connect with us at

By completing this form, you will receive a user account for VSee, MAVEN Project’s telehealth platform, with unlimited access to eConsults and video consults across 59+ clinical specialties!

Please use your work e-mail address.

PLEASE NOTE: In order to use our services and request a MAVEN Project account, you must be either a licensed physician or a Nurse Practitioner or Physician Assistant working under the license of a physician.

By clicking submit, I attest that the information provided in this form is accurate.