Iridology form

How it works:

Fill out & submit the form below.
Payment info and how to take iris photos will be emailed to you.
Once payment is made & iris photos are sent, your iridology report will be complete in 1-2 business days.

Name

First Name

Last Name

Email

Have you ever had an iridology reading before?

Yes

No

Do you have any specific health concerns you would like me to focus on?