• The minimum order for Practitioner Prescriptions is 16 or 32 ounces, varying in accord with the number of herbs in your formula (see table).

herbs per bottle chart

  • If you order an 8 oz. prescription, a $10.00 small size fee applies. We do not fill individualized formulas under 8 oz. You may order an 8 oz. or larger formula & 2 or 4 oz. empty bottles & blank labels, and provide your patients with these smaller sizes.
  • Larger sizes are priced at a lower cost per ounce.
  • Please use this form to order your prescription, click the submit button when complete.
  • We do not process hand written prescriptions or those presented as pdf’s, faxes, or in the text of an email! 
  • Un-modified Refills may ordered with this form. Do Not Re-Submit the Formula for Unmodified Refills – we already have this information!  Thank-You!     
  • For ‘standard’ amounts of individual herbs, leave the left column blank. Or: indicate chen, grams, %, or “+” or “–”.
  • For modifications of TCM formulas, write Pin Yin Name followed by additional herbs desired (refer to our KW Traditional  Chinese Medical Formulas Index). If the TCM Formula is not in our Index, provide a reference or type herbs below.
  • Charges for herbal prescriptions begin at price code 4, and increase in accord with the cost and quantity of herbs used.
  • Please use this form to provide an initial Patient History, click the submit button when completed. 
  • Individualized Formulas are provided in 16 or 32 oz. sizes. 8 oz. sizes incur a $20.00 surcharge.
  • Complex conformations with severe disharmonies or multiple diagnoses may require 2 formulas.
  • Please provide a concise and complete case history. Abbreviate freely! Review of an initial intake case history plus a 1 to 2 page lab report is provided for a fee of $25. to $45., depending upon the complexity of the patient’s conformation.
  • Review of additional reports or longer case histories incur higher fees. Review of 2 paragraphs or less for refill information updates are provided for a $10. fee. Longer re-evaluations incur higher fees.
  • Submit patient history update here.
  • We will call or email if we require clarification or additional information.  
  • We will provide you a copy of your patients’ formulas with instructions for administration.
  • We do not process hand written case histories or those presented as .pdf, fax, .pages, or in the text of an email!