Supplement Refill Request
This Form is available only to current patients of our clinic.
Please fill in the form below to let us know which supplements you would like to refill.
If we have your items in stock, and you have selected to charge your card on file, we will process the order and it will be ready for pick up.
If we don’t have items in stock, our office Manager Lisa will be in touch via phone or email to let you know.
If we don’t have your card on file, we will set your items aside and you can pay when you arrive at the office.
Please note that supplements ordered without a follow-up visit in the last 6 months, or past the suggested duration on your treatment plan, are taken outside of medical direction. If you have questions about your treatment plan, please make a follow-up Appointment.
Office Hours
Monday to Thursday 9 am - 4 pm