Order summary

Membership Deposit

Deposit for 12-month membership. After this, you’ll be charged $375/month for 11 months. Includes 1 Lab Visit, Initial Consult, Case Review, 4 Follow-Ups, and unlimited Nutrition/Health Coaching.

1 x $2,500.00

$2,500.00

Subtotal

$2,500.00

Order total

$2,500.00

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Patient Information

* First Name

* Last Name

* Address - Line 1

Address - Line 2

* City

State

* Country

* Zip Code

* Phone Number

* Email Address

Card type

Card number

Exp Month

Exp Year

Terms

I UNDERSTAND:

The payment method above will be charged $2,500 now, then $375/month for 11 months.
This membership is a 12-month commitment.
Only patients within the US can be accepted at this time.

I have read and accept the terms

Secure pay

Place Order

Please be sure to use the patient's information including the email address you would like associated with the membership. This email address must be unique to any other patient in our system.

Order summary

Membership Deposit

Patient Information

Terms