For providers

Patient refund request

A patient returned a Free Life Labs product to your office? Fill out this form and we will refund your practice.

How this refund works

Free Life Labs refunds your practice the wholesale price you paid for the returned product, not the retail price your patient paid. Your practice handles your patient’s refund.

  • NerveReverse capsules: 90-day money-back guaranteeA return is accepted when the patient used NerveReverse for at least 90 consecutive days and saw no positive results, or had side effects at any point, even within the first 90 days.
  • Every other productCan be returned and refunded at any time, for any reason.
  • Covers wholesale accountsOur money-back guarantee applies to products your practice bought wholesale.

Questions? Call 801-923-3878 or email support@freelifelabs.com.

Refund request

Send one request per patient. Fields marked optional can be left blank.

For patient privacy, don’t include any patient names, contact details or health information on this form.

Have a wholesale account? Sign in and we will fill in your practice details.
Your practice
Enter your office or doctor name.
We send any questions about this request here. Enter a valid email address.
Your office’s internal reference, so you can match this request to your records. Please don’t include patient names or other patient details.
The return
List the product(s) the patient returned.
Is this a NerveReverse capsules return?
Choose one.
Choose a reason for the return.
Please check this box to continue.

Your request goes straight to the Free Life Labs support team.