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NZP 1235 - 05/12
Patient Order Form Directions: Please note: This is not a prescription. It can only be filled by Health World Limited.
Health World New Zealand is not responsible for any loss, damage or theft resulting from goods left at premises.
1. Please print your name and street address for shipping instructions.
2. Indicate the products you would like to receive by marking the quantity required.
3. Complete the costing in "Amount" column.
4. Include your cheque for the total amount or complete the credit card details below.
5. Health World New Zealand will forward the standard wholesale/retail margin to your Practitioner for products supplied under the Patient Order System.
6. Please forward to: Health World (NZ) Limited PO Box 35383, Browns Bay, Auckland, NZ 0753 Fax: 0508 227 733 Ph: (09) 478 2540
Sub Total (A) Sub Total (B) Sub Total (C) Sub Total (D) Sub Total (E) Sub Total (F) Delivery $ 6.50 (free for orders over $250 ex GST)
Total $ (GST Inclusive)
Send to: PO Box 35383, Browns Bay, Auckland NZ 0753 Phone: (09) 478 2540 Fax: 0508 227 733 Outside Auckland Ph.: 0508 227 744 Email: [email protected] www.metagenics.co.nz
PractitionerAccount Number:Practitioner Name:Company:Address: City: State: P/Code:
Deliver to: Name: Street Address: City: State: Telephone: ( ) P/Code: Delivery instructions: Please arrange delivery for a $6.50 charge (including GST) (Orders over $250 excluding GST are delivered freight free)
Recommended Dosage:
Signature: Date:
Patient Order Form
X
Card Details: Mastercard Visa or Cheque Enclosed CVV No:
Name on Card (please print): Signature:
Card No.: Expiry Date:
Amount: $
NZP 1235 - 05/12
Terms: Ensure your cheque is attached or credit card details are completed. Payment in full is required before shipment of goods.
Name:
Address:
Post Code:
Account No.
Date:
Phone:
Fax:
Patient Order Form
As at June 2012
Product Code SizeR.R.P
in. GSTQTY
500-C Methoxyflavone CM1 90 Tabs $35.50
Adaptan 60 Tablets APT 60 Tabs $50.50Adaptan 120 Tablets APT120 120 Tabs $89.95AdrenoTone 60 Tablets HYAD 60 Tabs $47.95AdrenoTone 120 Tablets HYAD120 120 Tabs $83.95Adreset* ADR 60 Caps $57.95Allergenics AG1 90 Caps $51.50Allergeze ALLZ 60 Tabs $50.50Allergeze for Kids ALK 120 g $41.95Aloe Vera Juice* ALOE 1 L $29.50AndroLift ALFT 90 Caps $47.95
Andro NK AND 60 Tabs $47.95Arabino Guard AG 60 g $49.50Azeo-Pangen AP1 90 Tabs $65.95
Bactrex BTX 60 Caps $47.95BioPure BIOP 285 g $52.95Bio Q 100 BQ100 50 Caps $35.95Bio Q 150 BQ150 50 Caps $47.95Black Cohosh Plus* UBC 60 Tabs $27.95Black Sesame Oil SES 500 mL $35.95Brahmi Tone BTON 60 Tabs $47.95BronchoClear BRCR 30 Tabs $35.95Broncho Tone BRON 60 Tabs $38.95
Calcitite Hi-Strength 1000 mg CTH1 60 Tabs $32.95Calcitite Hi-Strength 120 Tablets CTH120 120 Tabs $58.95Calm Care for Kids CAFK 120 g $41.95CalmX Pineapple 270 g CALM 270 g $50.50CalmX Pineapple 540 g CALML 540 g $87.50CardioX Tropical 200 g CDX 200 g $50.50CardioX Tropical 400 g CDX400 400 g $87.50CardioX Lemon/Lime 200 g CDXL 200 g $50.50CardioX Lemon/Lime 400 g CDXL400 400 g $87.50Cartrin 200 mL CTN 200 mL $77.95Cartrin 500 mL CTNL 500 mL $174.50Cell Protect (UPGRADE) CPRT 60 Tabs $59.95Cholesstanol COL 60 Tabs $33.50Chromium Picolinate* CPL 60 Tabs $19.95Cod Liv A & D for Kids CFA 100 mL $30.50Collagenics CG1 60 Tabs $31.95Concentration Care ABC for Kids ABCC 100 g $47.95Costat COS 60 Tabs $44.50Cougheze CEZ 30 Tabs $35.95Crotico B5 B6 CB5 60 Tabs $35.95C-Ultrascorb II 100 g US2S 100 g $30.95C-Ultrascorb II 250 g US2 250 g $61.95C-Ultrascorb Tablets UST 60 Tabs $33.50
Dermasoothe Lotion DSL 120mL $44.50Digestone DIG 60 Tabs $42.95DMG Liquid DMG 100 mL $43.95
E-400 Selenium* TEES 60 Tabs $46.95E500 Tocopherols Plus Selenium ETS 60 Caps $45.50Endura Lemon Lime END 540 g $34.95Endura Orange ENDO 540 g $34.95Endura Opti Chocolate EO 1440 g $95.95Endura Opti Vanilla EOV 1440 g $95.95EnergyX Caramel 200 g EGY 200 g $50.50EnergyX Caramel 400 g EGY400 400 g $87.50
Subtotal (A) $
Product Code SizeR.R.P
in. GSTQTY
E.N.T. Immune Care for Kids EICK 100 g $41.95Estrium* UB018 644 g $62.50Estrofactors ESFC 60 Caps $55.95Estrofactors (UPGRADE) ESFT 60 Tabs $55.95
Family Multivitamin FMV 120 Tabs $59.95Fem Estroplex* FESPL 90 Tabs $38.50Fem Premenstrual* FPM 60 Tabs $38.50Fem Prenatal* FPTL 30 Pks $92.50Femme Essentials 60 Tablets ESS 60 Tabs $50.50Femme Essentials 120 Tablets ESS120 120 Tabs $89.95Femme Oestroplex 60 EST60 60 Tabs $61.95Femme Premenstrual PMS60 60 Tabs $47.50Fenugreek Plus* FGP 60 Tabs $31.50Fibroplex Maintain FMT 90 Tabs $39.50Fibroplex Plus for Kids FBK 120 g $30.95Fibroplex Plus Lemon Lime FBPL 200 g $50.50Fibroplex Plus Orange 200 g FBPO 200 g $50.50Fibroplex Plus Orange 400 g FBPO400 400 g $87.50Fibroplex Plus Raspberry 200 g FBPR 200 g $50.50Fibroplex Plus Raspberry 400 g FBPR400 400 g $87.50Fibroplex Plus Tropical 200g FBPT 200 g $50.50Fibroplex Plus Tropical 400 g FBPT400 400 g $87.50Five Mushroom Extract 25 mL ME 25 mL $55.95Five Mushroom Extract 100 mL MEL 100 mL $192.50Flora Care for Kids FCK 50 g $29.95
Gammagenics GM1 60 Tabs $30.50Gastro AG GG 120 g $35.50Glucosamine Intensive Care GLIC 60 Tabs $36.50Glucosamine Sulfate 60* GSS 60 Tabs $22.50Glutagenics GLU180 180 g $53.95G-Tox Express GTX 280 g $80.50Gut Care for Kids GTCK 140 g $47.95Gyno Clear GCR 90 Caps $52.50
Hemagenics Intensive Care HIC 30 Tabs $20.95Hemagenics VegeCare HVC 30 Caps $20.95
Immunocare IMM 60 Tabs $53.95Inflavonoid Intensive Care 30 IFIC30 30 Tabs $29.95Inflavonoid Intensive Care 60 IFIC60 60 Tabs $51.50Insulex ISXC 90 Caps $52.50
Kaprex 60 Tablets KPX 60 Tabs $47.95Kaprex 120 Tablets KPX120 120 Tabs $83.95Keto Bar Caramel 60 g Bar KBC Box of 10 $59.50Keto Bar Cherry Coconut 60 g Bar KB Box of 10 $59.50Keto Bar Choc Mint 60 g Bar KBCM Box of 10 $59.50Keto Bar Vanilla Nougat 60 g Bar KBVN Box of 10 $59.50Keto Bar Soy Hazelnut Crunch 35 g Bar SKB Box of 10 $59.50Keto Crunch Bar Cranberry Almond 55 g Bar KCBR Box of 10 $59.50Ketostix KETO50 50 $15.50Kidney Care KDC 60 Tabs $41.95Krill Oil KRL 30 Caps $71.95
Laxatone LXT 30 Caps $21.50Lipogen LP1 60 Tabs $33.50Lipoic Acid 60 Tablets ALIPT 60 Tabs $33.50Lipoic Acid 120 Tablets ALIP120 120 Tabs $59.95Lipoplex Powder LPX 120 g $35.95Lymphatox LTOX 60 Tabs $47.95
Subtotal (B) $
XSend to: PO Box 35383, Browns Bay, Auckland NZ 0753
Fax: 0508 227 733
Email: [email protected]
Phone: (09) 478 2540
Outside Auckland Ph: 0508 227 744
Website: www.metagenics.co.nz
* Metagenics USA Product
NZP 1235 - 05/12
Terms: Ensure your cheque is attached or credit card details are completed. Payment in full is required before shipment of goods. As at June 2012
Product Code SizeR.R.P
in. GSTQTY
Magnesium Glycinate* MGT 120 Tabs $50.95Male Essentials 60 Tablets MESS 60 Tabs $50.50Male Essentials 120 Tablets MESS120 120 Tabs $89.95MenstroCare MSR 60 Caps $45.50Meta B Complex MBC 50 Tabs $32.95Metacard Q10 MCQ 60 Caps $59.95Meta EPA/DHA 60 Capsules MEPA 60 Caps $33.50Meta EPA/DHA 120 Capsules METAP 120 Caps $59.95Meta EPA/DHA 240 Capsules MEPA240 240 Caps $101.95Meta EPO* UEPO 90 Caps $30.95Metagen B12 Folate IB1 60 Tabs $26.50Metagenics Shaker MSH 400 mL $8.50Metagest MG1 90 Tabs $30.95Meta Meal for Kids MMK 365 g $61.50Meta Oil MO 200 mL $35.50MetaPure EPA/DHA 60 Capsules MP60 60 Caps $33.50MetaPure EPA/DHA 120 Capsules MP120 120 Caps $59.95MetaPure EPA/DHA 240 Capsules MP240 240 Caps $101.95MetaPure EPA/DHA Liquid 100 mL MEPAL 100 mL $35.95MetaPure EPA/DHA Liquid 200 mL MEPAL200 200 mL $65.50MetaPure EPA/DHA Liquid 500 mL MEPAL500 500 mL $131.95Meta Zinc with Vitamin C Orange MZF 100 g $27.50Meta Zinc with Vitamin C Raspberry MZFR 100 g $27.50Metazinc MZ1 60 Tabs $22.50Mineral Essentials MINS 360 g $41.95Mito Activate MACT 30 Tabs $47.95Mitochondrial Resuscitate* UB011 60 Tabs $35.50Multi Care for Kids MCK 170 g $38.50Multigenics M1 90 Tabs $35.95Multigenics Chewable* UTMC 90 Tabs $48.95Multigenics Intensive Care (No Iron)* MICNI 180 Tabs $84.95Multigenics Intensive Care* MICI 180 Tabs $82.50Multigenics Powder* M1P 216 g $56.50Multigenics USA (No Iron)* TMG 90 Tabs $48.50Multigenics USA* TMGI 90 Tabs $48.95Myoplex MPL 60 Tabs $23.95
N-Acetyl Carnitine NAC 100 g $65.95NasoClear NSCR 30 mL $17.95Natural Vitamin E Caps 500IU MVE 60 Caps $45.50NeuroCalm 60 Tablets AD 60 Tabs $47.95NeuroCalm 120 Tablets AD120 120 Tabs $83.95NeuroLift NLFT 60 Tabs $50.50
Oestrocalm OCM 90 Caps $53.95Omega Brain Care for Kids OBCK 90 mL $47.95Omega Brain Plus OMBP 190 mL $101.95Omega Care for Kids OCK 200 mL $32.50Omega EFA with Vitamin E EFA 60 Caps $33.50Osteo Plus OST 60 Tabs $35.95Osteo Plus 120 Tablets OST120 120 Tabs $63.50Ovarianne OVN 60 Tabs $42.95Oxidant Protection OPRO 60 Tabs $46.95Oxygenics OG1 60 Tabs $42.95
Palmetto Plus PALC 60 Caps $50.50Paternal Plus PATP 120 Caps $47.95Parex 60 Tablets PRX 60 Tabs $29.50Parex 120 Tablets PRX120 120 Tabs $51.50Peptex PEP 30 Caps $35.95Phosphatidylserine Capsules PHS 30 Caps $64.95pH Test PHT 30 Strips $29.95Phyto Essentials PHYE 150 g $53.95Phyto Pro PTP60 60 Tabs $44.50
Subtotal (C) $
Product Code SizeR.R.P
in. GSTQTY
Pregnancy Care PRGC 30 Tabs $33.50Probex 60 g PBX 60 g $51.50Probex 30 Capsules PBXC30 30 Caps $38.50Probex 60 Capsules PBXC 60 Caps $63.50Prozestan PZN 90 Caps $50.50PsoriaCare Cream PCC 100 g $35.95Pure Opti NPO 415 g $54.50
Relaxan RXN 90 Caps $47.95Renoxyl RENO 60 Tabs $41.95Resilian RSN 90 Caps $50.50Resist-X 60 Tablets RSX 60 Tabs $41.95Resist-X 120 Tablets RSX120 120 Tabs $75.50Resveratrol Healthy Ageing Complex RHAC 30 Tabs $59.95
Selenium Drink SELD 100 mL $23.95Serenagen* SRG 50 Tabs $27.95Shake It Chocolate SHKC 560 g $65.95Shake It Dairy Free Banana-Berry SHDFB 580 g $65.95Shake It eXtra French Vanilla SHXTR 560 g $79.50Shake It for Kids SIFK 600 g $65.95Shake It Soup Spring Vegetable SHSV 600 g $65.95Shake It Soup Sachets 30 g SHSVS 20 Sachets $71.95Shake It Vanilla SHKV 560 g $65.95Silymarin IC SILM 90 Caps $39.95Somnium SOMC 30 Caps $44.50Spectrazyme* STZ 60 Tabs $35.50Stressan STN 90 Caps $50.50Super ZGS ZGS 60 mL $29.50
Thermo Burn TBRN 60 Tabs $56.50Thermo Phase Detox (Vanilla) THPV 686 g $87.50Thyrobalance HYTB 60 Tabs $42.95ThyroCalm TH 60 Tabs $39.50Thyrosol* THY 60 Tabs $38.95Tran-Q* TRQ 50 Tabs $32.95Tribulus Synergy TRIBS 60 Tabs $44.50
Ultra DHA Capsules UDHAC 90 Caps $58.95Ultra DHA Liquid UDHA 100 mL $50.50Ultra EPA Capsules UEPAC 90 Caps $58.95Ultra EPA Liquid UEPA 100 mL $47.95Ultra Flora Immune UFIM 60 Caps $59.95Ultra Flora LGG® UFLC 60 Caps $59.95Ultra Flora Plus DF Powder UFPDF 60 g $46.50Ultra Flora Plus Powder UFP 60 g $46.50Ultra Flora Prebiotic Powder UFPRE 190 g $40.95Ultra Flora Restore 30 Capsules UFC30 30 Caps $35.95Ultra Flora Restore 60 Capsules UFC 60 Caps $57.50Ultra Flora Restore DF 30 Capsules UFCDF30 30 Caps $35.95Ultra Flora Restore DF 60 Capsules UFCDF 60 Caps $57.50Ultra Flora SB Dysbiosis UFSB 60 Caps $65.95UltraClear UC 550 g $65.95UltraClear Maintain PLUS UCMP 600 g $65.95UltraClear PLUS UCP 550 g $65.95UltraClear Sustain* UB001 840 g $62.95UltraGlycemX Chocolate* UB017 644 g $78.50UltraInflamX UIF 520 g $85.95UltraMeal Dutch Chocolate UMC 630 g $61.95UltraMeal Vanilla UMV 630 g $61.95Ultra Probioplex 150 g NUP 150 g $59.95Ultra Probioplex 80 Capsules NUPC 80 Caps $53.95Uroplex URO 90 Tabs $31.95
Subtotal (D) $
Name:
Address:
Post Code:
Account No.
Date:
Phone:
Fax:
Patient Order FormX
Send to: PO Box 35383, Browns Bay, Auckland NZ 0753
Fax: 0508 227 733
Email: [email protected]
Phone: (09) 478 2540
Outside Auckland Ph: 0508 227 744
Website: www.metagenics.co.nz
* Metagenics USA Product
NZP 1235 - 05/12
Name:
Address:
Post Code:
Account No.
Date:
Phone:
Fax:
X
As at June 2012
Product Code SizeR.R.P
in. GSTQTY
Vegetarian Digestive Enzymes VDE 90 Caps $42.95Vessel Care* UVSC 60 Tabs $36.50Viraclear VCLR 60 Tabs $41.95Vision Care VCAR 60 Caps $41.95Vitamin D3 1000IU VITD 60 Caps $17.95
Wellness Essentials 4 Women* WEW 60 pkts $136.50Wellness Essentials* WNE 60 pkts $129.50Wellness Essentials Joint Focus* WJF 60 pkts $139.95
Zinc Drink ZDK 200 mL $23.95Zinc Tally ZT 100 mL $23.95
INNOVATIVE THERAPIESArginex AGX 180 g $44.50Arthrex ARTX 250 g $55.95Coriolus/Grifola Complex 25 mL CGC 25 mL $46.50Coriolus/Grifola Complex 100 mL CGL 100 mL $166.50Gastro Aid GA 90 g $55.95Glutathione GLUT 100 g $47.95Leucostat with Vitamin D LS 30 Caps $43.95Luteol Plus LTPC 60 Caps $57.50Meta I-3-C I3C 60 Caps $56.50Neuro Pro NPP 240 g $55.50Proxan PROX 30 Caps $61.95Proxan 60 Capsules PROX60 60 Caps $104.95Triphala TRIPC 90 Caps $30.50
CLASSIC TCM
Anemarrhena, Phellodendron & Rehmannia Combination
CAN 60 Caps $41.95
Bupleurum & Dang Gui Formula CBDG 60 Caps $41.95Bupleurum & Peony Formula CBP 60 Caps $41.95Complete Ten Combination CC10 60 Caps $41.95Dang Gui & Peony Formula CDGP 60 Caps $41.95Ginseng & Longan Combination CGLC 60 Caps $47.95Linum Seed Formula CLSD 60 Caps $36.95Minor Bupleurum Combination CMB 60 Caps $41.95Rehmannia Six Combination CRHC 60 Caps $36.95Right Returning Formula CRRF 60 Caps $41.95Tonify the Middle Formula CTMF 60 Caps $41.95Zizyphus Combination CZS 60 Caps $47.95
PHENOLICSAcetaldehyde P0001 25 mL $24.95Gallic Acid P0080 25 mL $24.95Histamine P0090 25 mL $24.95Insulin P0095 25 mL $24.95Oestrogen P0065 25 mL $24.95Phenylalanine P0137 25 mL $24.95Progesterone P0145 25 mL $24.95Salsolinol P0153 25 mL $24.95Serotonin P0154 25 mL $24.95Testosterone P0165 25 mL $24.95Tryptophan P0170 25 mL $24.95
PHENOLIC COMBINATIONSADD/ADHD DT0125 25 mL $26.50Aller Milk PC004 25 mL $26.50Asthma Plus* PC013 25 mL $35.50
Subtotal (E) $
Product Code SizeR.R.P
in. GSTQTY
Broncho Eze PC010 25 mL $26.50Candi 1 m PC007 25 mL $26.50Candi 200 c PC006 25 mL $26.50Candi Plus PC005 25 mL $26.50Cough Relief DT0100 25 mL $26.50Headache Relief DT0105 25 mL $26.50Hormocrine PC009 25 mL $26.50Neuro I PC002 25 mL $26.50Neuro II PC003 25 mL $26.50Neurostat PC008 25 mL $26.50pH Stabiliser* DT0110 25 mL $26.50Phenol 1 PC011 25 mL $26.50Phenol 2 PC012 25 mL $26.50Sinusitis/Rhinitis DT0115 25 mL $26.50Trauma Remedy DT0120 25 mL $26.50
HOMOEOPATHIC DETOXAddiclenz DT0001 25 mL $26.50Amoeba DT0005 25 mL $26.50Bacteria DT0010 25 mL $26.50Chemtox DT0015 25 mL $26.50EBV DT0020 25 mL $26.50Enviro I DT0025 25 mL $26.50Enviro II DT0030 25 mL $26.50Enviroclenz DT0035 25 mL $26.50FNG DT0040 25 mL $26.50Geopathic Stress* DT0048 30 mL $35.50Metox DT0060 25 mL $26.50Nerve Z DT0065 25 mL $26.50Oratox DT0070 25 mL $26.50Polarity Plus DT0073 25 mL $26.50Radiation DT0075 25 mL $26.50Spleenogen DT0077 25 mL $26.50Stress EZ DT0080 25 mL $26.50Systemic Detox DT0085 25 mL $26.50Tobacco DT0090 25 mL $26.50Ver DT0093 25 mL $26.50Virus DT0095 25 mL $26.50
HOMOEOPATHIC COMBINATIONSBacteria Combination* HC0045 30 mL $35.50Circulation* HC0050 30 mL $35.50Gum Therapy* DE005 30 mL $35.50Hormone Combination* HC0035 30 mL $35.50Lymph/Spleen Combination* HC0030 30 mL $35.50Lymphoplus HC0010 25 mL $26.50Multiple Miasm HC0001 25 mL $26.50Post Dental* DE025 30 mL $35.50Pre Dental* DE020 30 mL $35.50Skin Infections* HC0070 30 mL $35.50Staph/Strep Respiratory* HC0075 30 mL $35.50Tyroplus HC0020 25 mL $26.50Virus Plus* HC0080 30 mL $35.50
DRAINAGE REMEDIESGI Drainage* DR005 60 mL $49.50Kidney Drainage* DR010 60 mL $49.50Liver Drainage* DR013 60 mL $49.50Lymph Drainage* DR015 60 mL $49.50Systemic Drainage* DR025 60 mL $49.50
Subtotal (F) $
Patient Order FormSend to: PO Box 35383, Browns Bay, Auckland NZ 0753
Fax: 0508 227 733
Email: [email protected]
Phone: (09) 478 2540
Outside Auckland Ph: 0508 227 744
Website: www.metagenics.co.nz
* Metagenics USA Product
