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Orders
Free for info orders

Where to send your order for 1 OptiDoseŽ dropper:
Name:
Address:

Obstetrician info:
Name:
Did your OB prescribe prenatal fluoride?

Pediatrician info:
Name:
Address:
Phone:
Could you please tell me a little bit about selecting your pediatrician? How far along in your pregnancy were you? How many choices did you have? How did you find out about the choices? What did you like about the one you selected?

Family info:
Other children? (dates of birth, birth weights, etc.)
This baby's due date:
Expected method of feeding:
Fluoride in your water (call your health dept or water supply):

Instructions:
To get the above info to me, either print it and mail it to:
OptiDose Order
2608 E. Court St.
Iowa City, IA 52245-4801

Or cut / paste into an e-mail message.
Thank you.

raygrogan@hotmail.com