Pre-Paid Care Plan Supplement Order Form

Patients who are on a pre-paid care plan can use the form below to submit supplement orders and receive their 10% off supplements.

Supplements do not come with the supplement pumps. Those are purchased separately*

Once the order has been received and packed, NO CHANGES CAN BE MADE*

Name

First Name

Last Name

Email

List Supplements you want to order by name and quantity

I agree that The Wellness Way Centennial will charge my card on file and that I am responsible for shipping costs. I also agree that my supplements will not be shipped until there is a card on file and they are paid in full. TYPE I AGREE BELOW

How do you want to get your supplements?

I will pick up at the office

Please ship my supplements to me

What Address should we ship to?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Shipping Details:

Shipped Orders: Allow 2-3 business days for processing. If any items are out of stock, we will contact you to inform you of the expected timeline. We typically wait until all items are in stock before shipping to ensure your order is complete.
If we are out of a supplement when you submit your order, we will contact you for further instruction.
Tracking information sent via email
USPS shipping with regular pickups
Please allow 5-7 business days for delivery
You must request expedited shipping and is charged accordingly
Plan reorders accordingly
Please be patient, we are not Amazon Prime.
In-Person Pickup Orders: Orders for pickup will be ready within 2-3 hours after your request. Our pickup hours are:

Monday: 8:30 AM – 12:00 PM, 1:00 PM – 5:30 PM
Tuesday: 12:00 PM – 5:30 PM
Wednesday: 8:30 AM – 12:00 PM, 1:00 PM – 5:30 PM
Thursday: 1:00 PM – 5:30 PM
Friday: 8:30 AM – 12:00 PM

SUPPLEMENT ORDERS

Pre-Paid Care Plan Supplement Order Form