Supplement Order Form
Please make sure to fill in the required fields and submit this form to complete your order. Please note that you are giving permission for The Wellness Way Sarasota to charge your credit card on file by submitting this form and a 3% credit card processing fee will be applied. If placing an order to be shipped, you will be charged an additional $10-15 to cover shipping depending on order size. Supplements will be shipped same day for any forms submitted prior to 1:30pm, Monday - Thursday. Friday shipments will be sent out same day if form is received prior to 11:00am. One form filled out per patient please!
Patient Name
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First Name
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E-mail
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Are you picking up your order or prefer it to be shipped directly to you?
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Picking up at The Wellness Way Sarasota
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The Wellness Way Supplements
Please select quantity for each supplement in your order. Prices reflect the cost of supplement without any discount applied. If you are on a Wellness Way Care Plan, your 10% discount on supplements will be applied during checkout.
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Active B12/Folate
$
30.00
Quantity
1
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5
6
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10
ACZ nano Zeolite Extra Strength
$
77.00
Quantity
1
2
3
4
5
6
7
8
9
10
Adrenal Glandular
$
58.00
Quantity
1
2
3
4
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8
9
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Albizia
$
55.00
Quantity
1
2
3
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7
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Alcedonia
$
48.00
Quantity
1
2
3
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10
Ashwagandha (Liquid)
$
74.00
Quantity
1
2
3
4
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10
Ashwagandha (Capsules)
$
92.50
Quantity
1
2
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Astragalus
$
70.00
Quantity
1
2
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Bacopa
$
65.00
Quantity
1
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3
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Betaine HCl
$
33.00
Quantity
1
2
3
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Bioactive Selenium
$
25.50
Quantity
1
2
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Black Cohosh
$
68.00
Quantity
1
2
3
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Black Walnut
$
84.50
Quantity
1
2
3
4
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Blood Sugar Glandular
$
50.00
Quantity
1
2
3
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Bone Broth Protein - Chocolate
$
60.00
Quantity
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2
3
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Bone Broth Protein - Pure
$
60.00
Quantity
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Bone Broth Protein - Vanilla
$
60.00
Quantity
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Boswellia
$
69.50
Quantity
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2
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Calcium D-Glucarate
$
59.00
Quantity
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California Poppy
$
64.00
Quantity
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Cat's Claw
$
87.50
Quantity
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CBD Tincture
$
98.50
Quantity
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Chaga
$
53.00
Quantity
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Chamomile
$
52.00
Quantity
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Chaste Tree
$
64.00
Quantity
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Chicory Root Inulin
$
33.00
Quantity
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Chlorophyll
$
30.00
Quantity
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Coleus
$
70.00
Quantity
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Colloidal Silver
$
66.00
Quantity
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Colloidal Silver Nasal Spray
$
24.00
Quantity
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Cordyceps
$
36.00
Quantity
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CY Complex
$
98.00
Quantity
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D-Mannose
$
60.00
Quantity
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Vitamin D3/K2
$
37.50
Quantity
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Dandelion Root
$
68.50
Quantity
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9
10
DHEA
$
28.00
Quantity
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2
3
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Digest-Well Complex
$
35.00
Quantity
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9
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Digestion Glandular
$
50.00
Quantity
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DIM Complex
$
57.50
Quantity
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Dong Quai Root
$
72.00
Quantity
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Echinacea (Liquid)
$
83.00
Quantity
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2
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10
Echinacea (Capsules)
$
91.50
Quantity
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Elderberry
$
55.00
Quantity
1
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Female Glandular
$
50.00
Quantity
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Gallbladder Complex
$
42.00
Quantity
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GastroClear
$
55.00
Quantity
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GastroRestore
$
54.00
Quantity
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Ginkgo
$
105.50
Quantity
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9
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Goldenseal
$
98.00
Quantity
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Gotu Kola
$
84.50
Quantity
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9
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Green Tea Extract
$
44.50
Quantity
1
2
3
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Gymnema
$
64.00
Quantity
1
2
3
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Herbal Throat Spray
$
39.00
Quantity
1
2
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9
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Immune Glandular
$
52.00
Quantity
1
2
3
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9
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Iodine
$
28.00
Quantity
1
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Japanese Knotweed
$
84.50
Quantity
1
2
3
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9
10
Kava (Liquid)
$
78.50
Quantity
1
2
3
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5
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9
10
Kava (Capsules)
$
68.00
Quantity
1
2
3
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10
L-Glutamine
$
31.00
Quantity
1
2
3
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8
9
10
L-Theanine
$
46.00
Quantity
1
2
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9
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Licorice
$
58.00
Quantity
1
2
3
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9
10
Liver Glandular
$
35.00
Quantity
1
2
3
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5
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8
9
10
Male Glandular
$
50.00
Quantity
1
2
3
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6
7
8
9
10
Megabiotic Children's Chewable
$
61.00
Quantity
1
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9
10
Megabiotic
$
92.00
Quantity
1
2
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Melatonin
$
23.00
Quantity
1
2
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Methylcobalamin
$
48.00
Quantity
1
2
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Milk Thistle
$
75.50
Quantity
1
2
3
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10
MSM
$
30.00
Quantity
1
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3
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Mucuna Seed
$
48.00
Quantity
1
2
3
4
5
6
7
8
9
10
Mushroom Immune
$
70.00
Quantity
1
2
3
4
5
6
7
8
9
10
Neo40
$
114.00
Quantity
1
2
3
4
5
6
7
8
9
10
Nettle Leaf
$
67.50
Quantity
1
2
3
4
5
6
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8
9
10
Niacin
$
25.00
Quantity
1
2
3
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5
6
7
8
9
10
Oregano Oil
$
32.00
Quantity
1
2
3
4
5
6
7
8
9
10
Oregon Grape
$
69.00
Quantity
1
2
3
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9
10
Osha
$
84.00
Quantity
1
2
3
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5
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8
9
10
Passionflower
$
73.50
Quantity
1
2
3
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5
6
7
8
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10
Potassium
$
38.00
Quantity
1
2
3
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5
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8
9
10
Pregnenolone
$
42.00
Quantity
1
2
3
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8
9
10
Q Power
$
45.00
Quantity
1
2
3
4
5
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8
9
10
Rehmannia
$
55.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reishi
$
48.00
Quantity
1
2
3
4
5
6
7
8
9
10
Relax (Magnesium)
$
65.00
Quantity
1
2
3
4
5
6
7
8
9
10
Resveratrol Ultra
$
66.50
Quantity
1
2
3
4
5
6
7
8
9
10
Saw Palmetto
$
74.00
Quantity
1
2
3
4
5
6
7
8
9
10
Schisandra
$
61.00
Quantity
1
2
3
4
5
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8
9
10
Silver Gel
$
38.00
Quantity
1
2
3
4
5
6
7
8
9
10
Slippery Elm
$
78.50
Quantity
1
2
3
4
5
6
7
8
9
10
St. John's Wort
$
70.00
Quantity
1
2
3
4
5
6
7
8
9
10
Thyroid Glandular
$
54.00
Quantity
1
2
3
4
5
6
7
8
9
10
Tribulus
$
69.50
Quantity
1
2
3
4
5
6
7
8
9
10
Turkey Tail
$
42.00
Quantity
1
2
3
4
5
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7
8
9
10
Turmeric (Liquid)
$
57.00
Quantity
1
2
3
4
5
6
7
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9
10
Turmeric (Capsules)
$
72.00
Quantity
1
2
3
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8
9
10
Uva Ursi
$
71.00
Quantity
1
2
3
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5
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7
8
9
10
Valerian
$
96.50
Quantity
1
2
3
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5
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7
8
9
10
Well-Zyme Complex
$
42.00
Quantity
1
2
3
4
5
6
7
8
9
10
Wellness B Complex
$
37.00
Quantity
1
2
3
4
5
6
7
8
9
10
Wellness Greens
$
40.00
Quantity
1
2
3
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5
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7
8
9
10
Wellness Zinc
$
53.00
Quantity
1
2
3
4
5
6
7
8
9
10
White Peony
$
65.00
Quantity
1
2
3
4
5
6
7
8
9
10
Wormwood
$
68.50
Quantity
1
2
3
4
5
6
7
8
9
10
Bulletproof Coffee Grounds - Breakfast Blend
Light Roast
$
15.99
Quantity
1
2
3
4
5
6
7
8
9
10
Bulletproof Coffee Grounds - Mentalist Blend
Medium-Dark Roast
$
15.99
Quantity
1
2
3
4
5
6
7
8
9
10
Bulletproof Chocolate Collagen
$
43.95
Quantity
1
2
3
4
5
6
7
8
9
10
Bulletproof Vanilla Collagen
$
43.95
Quantity
1
2
3
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5
6
7
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9
10
Bulletproof Unflavored Collagen
$
43.95
Quantity
1
2
3
4
5
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7
8
9
10
Glutathione Topical
$
57.00
Quantity
1
2
3
4
5
6
7
8
9
10
L-Lysine HCl
$
17.39
Quantity
1
2
3
4
5
6
7
8
9
10
LMNT Variety Pack (12 sticks)
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Maca Powder
$
16.00
Quantity
1
2
3
4
5
6
7
8
9
10
Cacao Powder
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Camu Camu Powder
$
22.00
Quantity
1
2
3
4
5
6
7
8
9
10
Medi-Clay
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
ProOmega Capsules
$
51.95
Quantity
1
2
3
4
5
6
7
8
9
10
ProOmega Liquid
$
71.95
Quantity
1
2
3
4
5
6
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9
10
"From Scratch" Cookbook
The Wellness Way's new cookbook full of dairy & gluten-free recipes!
$
44.95
Quantity
1
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3
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If there are any supplements that you have previously purchased from our clinic that you need a refill on & they are not listed above, please write the full name below and it will be included in your order.
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Congratulations on staying consistent on your Wellness Way journey!
Before submitting, please confirm your order is correct, as we cannot issue refunds once supplements are purchased. You will receive an email confirmation after submission, so if there were any mistakes in your order, please give us a call at 941-702-0553. Thank you!
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