Keirsten Templeton - ClientID #187445

	ID #	Order Date	Sent Date	Status	Ship Status	Value

Comments on the Client

Insert New Comment

SENT HISTORY
Antagon 0.25 mg/0.5 ml (257)
Sep 11, 2024 x 5
Follistim 300 IU (289)
Sep 16, 2024 x 5
Sep 11, 2024 x 5
Follistim Pen (Re-Usable) Reusable (290)
Sep 11, 2024 x 1


First Name		Phone
Last Name		Mobile
Signature Waived (Not yet active)	(Will set Checkbox on Create Order Page)
Type of ID ID #	(numbers only)	Doctor Clinic
Date of Birth		Origin
Gender		Joined On..	September 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	Nausea Fibromyalgia Seizures Arthritis Muscle Spasm Migraines Anxiety Chronic Pain Glaucoma Cancer Trouble Sleeping Loss of Appetite Weight Loss HIV/AIDS Erectile Dysfunction	Allergies
Conditions		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.