Compounding Request Form

Request an Herbal Formula Made-To-Order by Dr. Ray.

Please allow up to 7-10 business days for custom MTO requests to fulfill and ship.

First name

Last name

Email

Phone (xxx) xxx-xxxx

Shipping Address

Herbal Formula Type

Tea Blend (Loose Leaf Herbs)

Tincture (Liquid Extract)

Other

Herbs for Compound

Please select the herbs you want in your formula. (Max of 6)

Made-To-Order Compound Size (Select One)

2oz Tincture Formula$45

4oz Tincture Formula$65

8oz Tincture Formula$90

4 ounce Loose Leaf Tea$40

Pick the size of your requested formula. Shipping and handling fees are already included in pricing. Only US shipping is available.

Naturopathic Concierge Primary Care