I'm so excited to have you register for the Shed the Pounds 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, Apex Energetics.  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