The Herbal Emporium
The Herbal Emporium

Margaret River, Western Australia
 
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Lotus Organic Blends and Herbal Tisanes  | Classic Green Teas | Classic Black Teas | Chai, Rooibos and Fruit Teas


Please fill out and submit the following form to request a custom tea blend.
Should you have any comments or questions, do not hesitate to
"Take the time–enjoy Loose Leaf"

Please note: "We do not claim to cure any illness or disease,
but rather aid in re-vitalising the body by way of herbal hydration."

Acute Prescribing - Personalized Herbal Teas and Tisanes
NAME 
PHONE 
EMAIL (Required) 
MAILING ADDRESS 
CITY STATE POSTCODE
GENDER 
DATE OF BIRTH 
CURRENT MEDICATIONS or SUPPLEMENTS 
DOSAGE
HOW LONG HAVE YOU BEEN TAKING? 
ANY SIDE EFFECTS? 

ANY PARTICULAR HEALTH ISSUES YOU WOULD LIKE TO ADDRESS?
 
The Herbal Emporium
 
The Herbal Emporium - Margaret River
     
Address:   Post Office Box 703
Margaret River, Western Australia 6285
Phone:   +61 8 9758 7204
Fax:   +61 8 9758 7201
Email:  


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Home | Stockists | Order Form | Contact
Lotus Organic Blends and Herbal Tisanes  | Classic Green Teas | Classic Black Teas | Chai, Rooibos and Fruit Teas