Keirsten Templeton - ClientID #187445



ID #Order DateSent DateStatusShip StatusValue
90087719 Sep 11, 2024Sep 16, 20249410836106051940639540$800.00
90087695 Sep 09, 2024Sep 11, 20249410836106051908294699Delivered$1,480.00

Comments on the Client
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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
Menopur 75 IU (219)
Sep 11, 2024 x 1
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Add New Line
RX DateDrugSizeTotal on RX# Left
100   
10   
10   
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.. 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














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.