Request Herbs

If you are a current patient and have had an appointment in the past month, you may request a refill of your current herbal formula.  You may also use this form to request that herbal products that have been prescribed to you/your family be ordered for you (e.g. Gentle Warrior pediatric formulas, linaments, salves, etc).  Refills will only be given to patients who have come in for an office visit in the past 30 days.  All requests subject to approval.

Orders will be placed weekly on Fridays. Please allow 3-5 days for shipping.

Name: *

Email: *

Phone:

Formula Name: *

Preferred Amount:

Shipping Address:

Notes:

Thanks! Your request has been sent.