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Refill My Remedies
Your Name (First, Last) *
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Which items do you wish to re-order? For probiotics, indicate powder or capsules. For tinctures, indicate bottle size (50ml, 100ml or 250ml)
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Delivery Address. Please indicate your preferred shipping address.
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Method of Payment Options *
If you are making a purchase on behalf of a family member who are also patients, please indicate their names here and your relationship to them.
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