Placing Patient Refill Orders

Our clients may order refills by either calling 330.928.6685 or by sending us the completed order form below. For convenience, we have a supplement drop-box for after-hours pick-ups.

Please provide the following information:

• Your full name and phone number
• What Supplement(s) (Name, Brand, Size)
• Quantity
• Form of Payment (credit card on file ending in ####)
• Form of Delivery (Ship It, Outside Drop-box, Inside Pickup)
• Shipping address (If shipping)
• CVV (3 digit code) REQUIRED Put in under Special Instructions
• Be as specific as you can to avoid delay in your refill order