List prescriptions and/or supplements needed (please include dosage amount):
(***If Testosterone is included in your order, a signature will be required
at time of delivery. You may have your order shipped to your place of business
or a local Fed Ex location.)
Your financial information will be kept confidential!
Please allow 24 - 48 hrs for prescription refills to be processed and
Please allow 24 hours for your supplement orders to be processed and shipped
from our office.