Health practitioner client login ...

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password:

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Ordering

Orders may be placed by toll-free phone, fax or email.

Please note that proof of professional designation will be required for all new clients.

By phone:

Toll free: 1-866-783-8029

Order desk hours: 8:00am — 5:00pm EST

By fax:

Toll free: 1-800-786-1967 using the downloadable order form

By email:

orders@cyto-matrix.com

Terms and Conditions:

Orders may be placed using VISA or Mastercard.

Request an Order Form

Please fill out the following information:

First Name:
Last Name:
Billing Name:
Professional License Number:
Specialization:
School Attended:
Street Address:
City:
Province: Please select from the list: Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Postal Code:
Telephone Number:
Fax Number:
Email Address:
An email will be sent to you shortly acknowledging your request and providing you with a copy of the information you provided to us for your records.