Login Email address * Password * Remember me Lost your password? Register now Registration Username * Shopper First Name * Shopper Middle Name Shopper Last Name * Email * Confirm Your Email * Password * Confirm Password * Street Address * City * Apt/Suite No Country * United States (US)United States (US) Virgin Islands State: * ZIP Code: * Phone * Fax How did you hear about us? ----Web SearchSocial MediaFriend/ColleagueDirect Mail PieceMagazine AdOther Patient Medical QuestionnaireIn order to safely review your order, we require information about the prescribed patient. If you are ordering for yourself, please provide your information. If you are ordering for a family member or pet, please answer these questions on their behalf. Patient First and Name * Gender * Male Female Other I am shopping Shopping for * MyselfSomeone I knowMy CatMy Dog Date of Birth * Patient Relationship * Shopping for myselfParentChildSpouseFriendPetOther Mention your height If you are shopping yourself or another person * Height*Animal3′0″ (91.44cm)3′1″ (93.98cm)3′2″ (96.52cm)3′3″ (99.06cm)3′4″ (101.6cm)3′5″ (104.14cm)3′6″ (106.68cm)3′7″ (109.22cm)3′8″ (111.76cm)3′9″ (114.3cm)3′10″ (116.84cm)3′11″ (119.38cm)4′0″ (121.92cm)4′1″ (124.46cm)4′2″ (127cm)4′3″ (129.54cm)4′4″ (132.08cm)4′5″ (134.62cm)4′6″ (137.16cm)4′7″ (139.7cm)4′8″ (142.24cm)4′9″ (144.78cm)4′10″ (147.32cm)4′11″ (149.86cm)5′0″ (152.4cm)5′1″ (154.94cm)5′2″ (157.48cm)5′3″ (160.02cm)5′4″ (162.56cm)5′5″ (165.1cm)5′6″ (167.64cm)5′7″ (170.18cm)5′8″ (172.72cm)5′9″ (175.26cm)5′10″ (177.8cm)5′11″ (180.34cm)6′0″ (182.88cm)6′1″ (185.42cm)6′2″ (187.96cm)6′3″ (190.5cm)6′4″ (193.04cm)6′5″ (195.58cm)6′6″ (198.12cm)6′7″ (200.66cm)6′8″ (203.2cm)6′9″ (205.74cm)6′10″ (208.28cm)6′11″ (210.82cm)7′0″ (213.36cm)7′1″ (215.9cm)7′2″ (218.44cm)7′3″ (220.98cm)7′4″ (223.52cm)7′5″ (226.06cm)7′6″ (228.6cm)7′7″ (231.14cm)7′8″ (233.68cm)7′9″ (236.22cm)7′10″ (238.76cm)7′11″ (241.3cm)8′0″ (243.84cm) Mention your weight If you are shopping yourself or another person * Weight*Animal30 kg / 66 lbs31 kg / 68 lbs32 kg / 70 lbs33 kg / 72 lbs34 kg / 74 lbs35 kg / 77 lbs36 kg / 79 lbs37 kg / 81 lbs38 kg / 83 lbs39 kg / 85 lbs40 kg / 88 lbs41 kg / 90 lbs42 kg / 92 lbs43 kg / 94 lbs44 kg / 97 lbs45 kg / 99 lbs46 kg / 101 lbs47 kg / 103 lbs48 kg / 105 lbs49 kg / 108 lbs50 kg / 110 lbs51 kg / 112 lbs52 kg / 114 lbs53 kg / 116 lbs54 kg / 119 lbs55 kg / 121 lbs56 kg / 123 lbs57 kg / 125 lbs58 kg / 127 lbs59 kg / 130 lbs60 kg / 132 lbs61 kg / 134 lbs62 kg / 136 lbs63 kg / 138 lbs64 kg / 141 lbs65 kg / 143 lbs66 kg / 145 lbs67 kg / 147 lbs68 kg / 149 lbs69 kg / 152 lbs70 kg / 154 lbs71 kg / 156 lbs72 kg / 158 lbs73 kg / 160 lbs74 kg / 163 lbs75 kg / 165 lbs76 kg / 167 lbs77 kg / 169 lbs78 kg / 171 lbs79 kg / 174 lbs80 kg / 176 lbs81 kg / 178 lbs82 kg / 180 lbs83 kg / 183 lbs84 kg / 185 lbs85 kg / 187 lbs86 kg / 189 lbs87 kg / 191 lbs88 kg / 194 lbs89 kg / 196 lbs90 kg / 198 lbs91 kg / 200 lbs92 kg / 202 lbs93 kg / 205 lbs94 kg / 207 lbs95 kg / 209 lbs96 kg / 211 lbs97 kg / 213 lbs98 kg / 216 lbs99 kg / 218 lbs100 kg / 220 lbs101 kg / 222 lbs102 kg / 224 lbs103 kg / 227 lbs104 kg / 229 lbs105 kg / 231 lbs106 kg / 233 lbs107 kg / 235 lbs108 kg / 238 lbs109 kg / 240 lbs110 kg / 242 lbs111 kg / 244 lbs112 kg / 246 lbs113 kg / 249 lbs114 kg / 251 lbs115 kg / 253 lbs116 kg / 255 lbs117 kg / 257 lbs118 kg / 260 lbs119 kg / 262 lbs120 kg / 264 lbs121 kg / 266 lbs122 kg / 269 lbs123 kg / 271 lbs124 kg / 273 lbs125 kg / 275 lbs126 kg / 277 lbs127 kg / 280 lbs128 kg / 282 lbs129 kg / 284 lbs130 kg / 286 lbs131 kg / 288 lbs132 kg / 291 lbs133 kg / 293 lbs134 kg / 295 lbs135 kg / 297 lbs136 kg / 299 lbs137 kg / 302 lbs138 kg / 304 lbs139 kg / 306 lbs140 kg / 308 lbs141 kg / 310 lbs142 kg / 313 lbs143 kg / 315 lbs144 kg / 317 lbs145 kg / 319 lbs146 kg / 321 lbs147 kg / 324 lbs148 kg / 326 lbs149 kg / 328 lbs150 kg / 330 lbs151 kg / 332 lbs152 kg / 335 lbs153 kg / 337 lbs154 kg / 339 lbs155 kg / 341 lbs156 kg / 343 lbs157 kg / 346 lbs158 kg / 348 lbs159 kg / 350 lbs160 kg / 352 lbs161 kg / 355 lbs162 kg / 357 lbs163 kg / 359 lbs164 kg / 361 lbs165 kg / 363 lbs166 kg / 366 lbs167 kg / 368 lbs168 kg / 370 lbs169 kg / 372 lbs170 kg / 374 lbs171 kg / 377 lbs172 kg / 379 lbs173 kg / 381 lbs174 kg / 383 lbs175 kg / 385 lbs176 kg / 388 lbs177 kg / 390 lbs178 kg / 392 lbs179 kg / 394 lbs180 kg / 396 lbs181 kg / 399 lbs182 kg / 401 lbs183 kg / 403 lbs184 kg / 405 lbs185 kg / 407 lbs186 kg / 410 lbs187 kg / 412 lbs188 kg / 414 lbs189 kg / 416 lbs190 kg / 418 lbs191 kg / 421 lbs192 kg / 423 lbs193 kg / 425 lbs194 kg / 427 lbs195 kg / 429 lbs196 kg / 432 lbs197 kg / 434 lbs198 kg / 436 lbs199 kg / 438 lbs200 kg / 441 lbs201 kg / 443 lbs202 kg / 445 lbs203 kg / 447 lbs204 kg / 449 lbs205 kg / 452 lbs206 kg / 454 lbs207 kg / 456 lbs208 kg / 458 lbs209 kg / 460 lbs210 kg / 463 lbs211 kg / 465 lbs212 kg / 467 lbs213 kg / 469 lbs214 kg / 471 lbs215 kg / 474 lbs216 kg / 476 lbs217 kg / 478 lbs218 kg / 480 lbs219 kg / 482 lbs220 kg / 485 lbs221 kg / 487 lbs222 kg / 489 lbs223 kg / 491 lbs224 kg / 493 lbs225 kg / 496 lbs226 kg / 498 lbs227 kg / 500 lbs228 kg / 502 lbs229 kg / 504 lbs230 kg / 507 lbs231 kg / 509 lbs232 kg / 511 lbs233 kg / 513 lbs234 kg / 515 lbs235 kg / 518 lbs236 kg / 520 lbs237 kg / 522 lbs238 kg / 524 lbs239 kg / 526 lbs240 kg / 529 lbs241 kg / 531 lbs242 kg / 533 lbs243 kg / 535 lbs244 kg / 538 lbs245 kg / 540 lbs246 kg / 542 lbs247 kg / 544 lbs248 kg / 546 lbs249 kg / 549 lbs250 kg / 551 lbs251 kg / 553 lbs252 kg / 555 lbs253 kg / 557 lbs254 kg / 560 lbs255 kg / 562 lbs256 kg / 564 lbs257 kg / 566 lbs258 kg / 568 lbs259 kg / 571 lbs260 kg / 573 lbs261 kg / 575 lbs262 kg / 577 lbs263 kg / 579 lbs264 kg / 582 lbs265 kg / 584 lbs266 kg / 586 lbs267 kg / 588 lbs268 kg / 590 lbs269 kg / 593 lbs270 kg / 595 lbs271 kg / 597 lbs272 kg / 599 lbs273 kg / 601 lbs274 kg / 604 lbs275 kg / 606 lbs276 kg / 608 lbs277 kg / 610 lbs278 kg / 612 lbs279 kg / 615 lbs280 kg / 617 lbs281 kg / 619 lbs282 kg / 621 lbs283 kg / 624 lbs284 kg / 626 lbs285 kg / 628 lbs286 kg / 630 lbs287 kg / 632 lbs288 kg / 635 lbs289 kg / 637 lbs290 kg / 639 lbs291 kg / 641 lbs292 kg / 643 lbs293 kg / 646 lbs294 kg / 648 lbs295 kg / 650 lbs296 kg / 652 lbs297 kg / 654 lbs298 kg / 657 lbs299 kg / 659 lbs300 kg / 661 lbs Current Medical Conditions - Please list patient's current medical condition(s) * Drug Allergies - Please list patient's allergies and include any necessary comments * Current Medication - Please list all medications/supplements patient currently takes * Doctor's Information First Name * Last Name * Phone Number * Clinic Name Clinic Address City Apt/Suite No Country: United States (US)United States (US) Virgin Islands State: ZIP Code: Acknowledgment *By 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