IV Vitamin Therapy

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Date #1

MM

DD

YYYY

Preferred Date #2

MM

DD

YYYY

Preferred Date #3

MM

DD

YYYY

IV Therapy Menu

Which solutions are you interested in?

Athlete's Recovery & Performance [Amino Acids, Minerals, Vitamins B 1, 2, 3, 5, 6, Vitamin C]

Inner Beauty [Biotin (B7), Vitamins B 1, 2, 3, 5, 6, Vitamin C]

Hangover Relief [Anti-Nausea Zofran*, Vitamins B 1, 2, 3, 5, 6, Minerals]

Hydration Boost [Normal Saline, Vitamin Complex]

Immunity Boost [Glutathione, Vit C, Zinc]

Vitamin B12

Vitamin C

Vitamin B Complex

Minerals

Amino Acids

[Custom]