This contact form is for our current patients to refill supplements.
If you are a current patient with questions or a new patient who would like to schedule an appointment please call our office at 301 620-1557.
- Please fill out all the contact information. Address is only necessary for mail out orders.
- Provide the details of each item in your order. Be specific.
- Product Name and Dosage Size (ex. Aller-C, D-5000, Flax/Borage Oil, etc)
- Product Size (ex. 200 capsules, etc)
- Product Quantity (1 Bottle)
- Submit Form
- We will review your order and email you if we have any questions or concerns.
- When the order has been finalized, we will send an email with the order total. Payment options:
- Your card on file will be billed; or
- Call us and provide credit card information; or
- Pay for your order when you pick it up at our office.
- Orders will be shipped once payment is confirmed.