PRESCRIPTION 

If you are a clinic or an individual health practitioner looking for a specific supplement mix for your client, we can compound it for you.

Please fill out the form below to launch the inquiry:

INQUIRY FORM

    Full name
    COMPANY
    ADDRESS
    EMAIL
    PRODUCT FOR
    HEALTH APPLICATION(ex. cardiovascular, energy, immune system, etc.)
    ORDER QUANTITY
    Containers
    DO YOU ALREADY HAVE PACKAGING?
    DOSAGE TYPE
    Directions
    SUPPLEMENT FACTS
    INGREDIENTS
    ACTIVE INGREDIENTS/AMOUNT PER SERVING(Quantity of active principle, i.e. Elemental Magnesium, ascorbic acid, etc. Preferred unit of measure is ‘mg’, if possible, please translate all units to ‘mg’, if translation is not possible, indicate ingredient-specific units.)
    SPECIAL REQUESTS:

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