Supplement Order Form
PLEASE NOTE: due to current high demand, orders are on a first come first serve basis while stocks last. If we are unable to fulfil your order due to limited stock supply we will contact you immediately.

Note: a set freight charge of $15 is automatically applied to your order

Please allow 2 full days to receive your order. We do our best to send orders out promptly but can’t take responsibility for delays due to incorrect addresses, postal delays or the COVID19 situation.

As we follow best practice procedures at Studio You, we do not accept orders for clients who have not seen their practitioner for more than three months. A follow up appointment is required to review protocols and treatment plans prior to any supplements being dispensed.
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Full Name: *
Phone: *
Studio You Practitioner *
Please list supplements, including BRAND & QUANTITY (Max 2 per product).
Postal Address *
Credit Card Information
Your details will be kept confidential.
Card type *
Required
Name on Card *
Card Number *
Expiry Month *
Expiry Year *
CCV (3-4 digit number on the back or front of your card) *
Please confirm:  I authorize a one-time charge by Studio You against my credit card for the total amount, including $15 freight charge *
Required
Please confirm: I understand it is up to me to disclose if any pharmaceutical or natural medications have changed since my last appointment, and not the responsibility of Studio You. *
Required
Please confirm: I do not authorize my credit card to be kept on file for future purchases
Submit
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