FHCi Patron HPx Program Registration

Free and Healthy Children International HPx Program Registration for existing FHCi Patrons
Name*

First NameLast Name
Email*
example@example.com
Phone (Country code for USA & Canada +1) *

Country CodeArea CodePhone Number
FHCi HPx Supervisor/Practitioner's Name*

First NameLast Name
Your FHCi HPx Practitioner's Email*
example@example.com
These fees enable FHCi to bring you these programs and maintain our research data base. You are investing in a healthier future for all. Thank you!

FHCi HPx Program registration fees are per program and per person for up to 8 members in the same household. Please select one or more HPx Programs* for yourself or immediate family members.

* An HPx Program is a sequential dosing series targeted for specific age groups and their immune system maturation to be taken over several weeks to months.

*The Single Disease HPx is for current out breaks of infectious disease regardless of age.

HPx Program registration instructions:
- FHCi HPx Program registration fees are per program and per person for up to 8 members in the same household.
- Select the number of family members enrolling in the selected HPx Program.
- Selection of 1 Full Childhood HPx Program covers all children enrolled at this time.
- Please let us know below how many adults and children will be participating in HPx Programs.
Number of Adults, 18 and older
Number of Children
Please select the HPx Programs below:*
prevnext( X )
1. Healthy Biome HPx ProgramAll ages; 9 weeks
$15.00 Quantity



2. Full Childhood Immunological HPx ProgramPay for only 1 per family; infant to 18yers of age; 50 months
$15.00 Quantity



3. Young Adult and College Prep HPx Program17-25 years of age; 6 or 12 months
$15.00 Quantity



4. Travel HPx ProgramAll ages; 5-15 weeks
$15.00 Quantity



5. Healthy Sexuality and Pre-Procreation HPx ProgramAges 16-35; 7 or 14 months
$15.00 Quantity



6. Group B Strep Prevention in PregnancyBefore and during pregnancy
$15.00 Quantity



7. Healthy Pregnancy and Fetal Development HPx ProgramBefore conception through pregnancy; 7 months
$15.00 Quantity



8. Immune Health for Elders HPx Program55 years and older; 6 months
$15.00 Quantity



9. HPx for Tick-Borne IllnessHPx after Tick bite; all ages.
$15.00 Quantity



10. Single disease prevention/treatment with HPxAll ages; 2-5 weeks. Choose this for current disease outbreaks
$15.00 Quantity



Total

$0.00
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Free and Healthy Children International HPx Program Registration for existing FHCi Patrons