STEP 1/3

INITIAL INFORMATION

Let’s begin with your basic contact information – make sure what you provide matches the details on your Driver’s License and/or other identity documents.

Please make sure to provide a valid contact number and email. This allows us to keep you informed with updates about your protocol.

YOUR DETAILS

First Name

Last Name

Phone Number

Date of Birth
As it appears on your Driver's License / /

Gender

Male Female

Points of Interest

TRT

Peptides

Medicinal Cannabis

I'd like to receive future communications from Primal Zone including latests new, offers and promotions.

A HEALTHIER YOU STARTS HERE!

If you haven’t tested your hormone levels, consult with your GP, and ask for the following panel:

Free and Total Testosterone, SHBG
E2, FSH/LH, Prolactin, Progesterone
Dehydroepiandrosterone sulfate (DHEAS)
Insulin-like growth factor (IGF-1) + growth hormone (GH)
Iron Studies
Cortisol
Magnesium
Thyroid stimulating hormone (TSH) / Thyroid function tests (FT3 / FT4)
Liver Function (LFT)
Kidney Function (UEC)
Cholesterol/TG/HDL/LDL
Glucose
Full Blood Count (FBC)

Files Upload Area: You can upload multiple files here in PDF, JPG and PNG formats. Upload your recent, comprehensive blood panel results here. You may also be asked to upload other bloodwork here depending on your answers below.

PREVIOUS STEP

STEP 3/3

PROCESS YOUR PAYMENT

Process your payment to complete the transaction.

Billing Details

First name

Last name

Phone number

Address

Suburb

State/Territory

Postcode

SHIPPING ADDRESS

Please verify your shipping address. Incorrect delivery addresses result in packages being returned to sender and a delay in re-processing your order. Any associated redirect shipping costs will be the responsibility of the customer. Please note that we are unable to dispatch orders to PO Boxes.

Same As Billing

New Shipping Address

Address

Suburb

State/Territory

Postcode

Payment Details

Card number

CVV

Expiration Date

Transactions are securely processed through Stripe.

PAYMENT SUMMARY

Summary

Initial Consultation Fee	$350.00
GST	$35.00
Sub Total	$385.00
Payment Processing Fee*	$7.16
TOTAL	$392.16
*Merchant online payment fee

Ready to change your life?

Previous step

STEP 1/3

INITIAL INFORMATION

YOUR DETAILS

A HEALTHIER YOU STARTS HERE!

STEP 2/3

ONBOARDING SURVEY

PROOF OF IDENTITY

TRT HISTORY

SYMPTOMS

LIFESTYLE BACKGROUND

MEDICAL BACKGROUND

OTHER

Only a few more steps.