Click to Call: 970-237-1062

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How To Order Natural Medicine Refills

If you're an existing patient, you can obtain refills in two easy ways:

1. Make a quick phone call; you can even leave us a message: 970-237-1062 and we'll get your package out that day!

2. Send us an email using the form below.

*We can mail directly to you via US Postal for a small charge 

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Supplement Refill Request
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-Mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Home Phone*
What items do you need, and how many? *
How Would You Like To Pay?*	Bill to credit card on file Call us with your credit card Pay at pick up at clinic
Delivery/Receipt*	I will pick up at the clinic I would like it mailed ($3.95) *Heavier packages may have an additional charge.
Please enter the word that you see below.

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