Provide your patients with the Most & Only!

To get started, fill out the Sample Request Form below.

* = required field
Practitioner's First Name*
Practitioner's Middle Initial
Practitioner's Last Name*
Address 1*
Address 2
City*
State*
Zip*
Email Address*
Confirm Email Address*
Phone*
Fax*
ME#*
State License #*
Professional Designation*	Choose One... MD DO ARNP NWM PA
How did you learn about duetdha.com?	Choose One... Sales Rep Journal Ad Internet Search Website Ad Convention Other
Would you like to be informed via email of future updates?	Yes No

As with any prescription-strength product containing folic acid, omega-3 fatty acids, iron, or vitamins D and E, please adhere carefully to the recommended dosages. Folic acid may obscure the diagnosis of pernicious anemia. Supplementation with omega-3 fatty acids should be avoided in patients with inherited or acquired bleeding diatheses, including those taking anticoagulants. Keep this and all iron-containing products out of the reach of children.See full Prescribing Information for complete usage and safety data. Supplementation with DuetDHA^ec may require additional dietary intake of calcium, magnesium and vitamin E