I'm so excited to have you register for the Purification Program.  

Please fill out the form below.

Please note that after registration and before products are ordered, a brief consultation will be scheduled to accurately assess your wellness needs. 

You will be be receiving your products shipped directly from my product supplier, Standard Process.  You will be billed by, Wellbody Innovations/Dr. Lisa Upshaw.

Email me at drlisa@drlisaupshaw.com for any questions or concerns.

Thank you!

Name *
Name
Shipping Address *
Shipping Address
Billing Address (if different from shipping)
Billing Address (if different from shipping)
Phone *
Phone
There is an option to add additional supportive products for an additional cost. Please check if interested for more information. You will be contacted before charged.