For Professionals
Welcome To The Wellness Center

If you are a health care provider and would like to order on-line, please fill out the following form, submit it, and we get back to you regarding simple on-line ordering instructions. After you receive our reply, please use your ID and Password to place your order. If orders are received before 10:00 AM, PST, they are shipped the same day.

The Top 5 Reasons To Use NuFem Saliva Testing

Request Information
A new product catalog and a CCNM school catalog is available for all registered providers. Please request one from our office at 866 962 6484.


Professional Inquiry
*First Name:
*Last Name:
*Title:
*Full Email Address:
*Phone:
Fax:
Billing Address  
*Street Address:
*City:
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*Zip:
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Shipping Address same as billing address
*Street Address:
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  Please enter a user name and password below
*User Name:
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  If you would like to have access to receive wholesale
information, Dr. Dales's professional lecture handouts and research, ordering and pricing information, please provide the information below.
N.E.A.R. Certified
**Seller's Permit :
**Degree:
**License Number:
**State Licensed in:
**Your Title on License:
  ** Needed in order to meet state's requirement
How did you hear about us:
Size of practice:
Notes:
   
I WOULD LIKE TO RECEIVE DR. DALE'S FREE " Homeopathic Hormone Rejuvnation" NEWLETTER?
 

Referrals: We will put your name on our Health Providers list after you have experienced the NuFem Salivay test and Dr. Dale's Homeopathic Hormone Rejuvenation Products and upon your request.

I confirm that I am a health care provider desiring to order the Wellness Center's products at wholesale cost. I agree not to sell any of the Wellness Center's products on the internett.



Please hit "CLICK TO SUBMIT" button only once.

Dr. Dale does not share your name or her mailing lists with any organization
other than her main distributor who will be mailing your information.

Thank you! For more information call: (866) 962-6484




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