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Patient Connection Portal

Enter information in the fields below and your patient will receive an email with a special promotion code. This code will give them 50% off their next 28-day supply when they order throught and sign up for Auto-Replenishment.

Did this patient purchase Lumity in the office?*
This patient opt in to receive emails from Lumity:

All future orders placed through with this email address will be linked to the Referrer in your office who will be receive a percentage of sales.