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.

Ordering Process

  1. Please fill out all the contact information.  Address is only necessary for mail out orders.
  2. 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)
  3. Submit Form
  4. We will review your order and email you if we have any questions or concerns.
  5. 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.

Supplement Order Form

Contact us

When your order has been finalized we will e-mail you a receipt.
When you submit personal information on our website we will protect your information both online and offline.

Dr. Lai and Dr. Sinclair

Doctor of Naturopathic Medicine Lai
Doctor of Naturopathic Medicine Sinclair

Additional Practitioners + Friends