Chelsea D'agosta - ClientID #185795



ID #Order DateSent DateStatusShip StatusValue
90087807RSep 17, 2024Sep 17, 20249410836106051951336438$1,140.00
90086849 Jul 09, 2024Jul 11, 20249410836106051457294287Delivered$1,140.00

Comments on the Client
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SENT HISTORY
Menopur 75 IU (219)
Sep 17, 2024 x 3
Jul 11, 2024 x 3
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RX DateDrugSizeTotal on RX# Left
1015   
First Name Phone
Last Name Mobile
Signature Waived (Not yet active)
Type of ID
ID #

(numbers only)
Doctor Clinic
Date of Birth Origin
Gender Joined On.. July 09, 2024
Address Affiliate
Apt#/Unit # Credit Card Info
City CC Number
State CVV
Country Exp Date /
Zip ACH Info
Email ABA/Routing #
Password Account #
Date To Call Bank Name
Do Not Call Name on Account
Black Listed
Do Not Email (anything) Send Reminder Email
Medical Information
Doctor Dr. Phone #
Dr. Email Dr. Fax #
Conditions














Allergies
Meds/Supplements
WooCommerce Information
(IP)Woo ID     (IP)Woo Username
Referral ID
(ReeKooz)Woo ID (ReeKooz)Woo Username
UBAcare ID (RXFor.ME) Woo ID    

NOTE: This will NOT adjust any information on existing orders.