Practitioner Information
Practitioner must have an active Professional Account with Si Jin Bao PRO (https://www.professionals.sijinbao.com/)
Including but not limited to L.Ac, OMD, DOM, D.O. MD. DC
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Patient Information
Please note, you will need 1 form per PATIENT/CLIENT.
Prescription
Prescriptions are valid for up to 90 days unless otherwise indicated.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
If suggesting Off Label Use, please include that in the Special Instructions.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
All Professional internal decoctions are 1oz and last for eleven and a half (11 1/2) days for an adult dosage. Please refer to your SJB PRO account for more information.
MM slash DD slash YYYY
Please include the requested size (2oz or 4oz) if you have prescribed Revive, Schmoove or Wonderful or any special Dosage instructions.
Terms & Conditions
Please be advised that ancient healing systems such as traditional Chinese Medicine, Classical Chinese Medicine , Ancient Chinese Medicine, Kampo ( Traditional Japanese Herbal Medicine), or Hangul ( Traditional Korean Medicine) are vastly different in the diagnosis and treatment of dysfunctional physiological processes namely diseases. The appropriate trained professional should be consulted on any specified condition. Any alteration to standard dosage recommendations made by the licensed professional will be at their sole discretion and assumes all liability. All licensed professionals hold the manufacturer harmless of all prescribed herbaceuticals offered.
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