You can cut/paste the top portion of this document into a word processor and type in the answers The first section below is to cut out for a template. Below that is more detailed guidelines/questions to help you better inform us of your problems. Alternately you can download one of the documents below.
After filling in all the information, please print the document and fax to us at 407-951-7843.
Adobe Acrobat document [140.8 KB]
Please choose the best way for you to contact us:
1.Click our contact form
2. Call us at: 407-951-7841
3. Send Text to our office's cell:
4.Email us at:
Our New Office address:
830 East State Road 434,
Longwood, FL, 32750
Appointment prefer! Urgent patient walk in welcome!
For any herbal refill or herbal order. We could always shipping the herbal to you directly with USPS any where inside USA. For international shipping. Please contact our office for details.