Purchase ProLon® with your physician's approval

If you haven't taken the ProLon Self Assessment to see if you need physician approval to purchase Prolon, please do so here. If you have already taken the assessment and you are returning to submit approval please read on.

Thank you for your interest in ProLon and for taking the time to discuss your desire to use ProLon with your health care provider. Please click on the button below to enter your physician's information and obtain your ProLon purchase authorization code.

We will not contact your provider to confirm your approval, but we need the information to keep on file. Your information will be kept secure and never shared with any third party.

WordPress Theme built by Shufflehound. Copyright: Vivaliti DNA, LLC | All Rights Reserved. | Photographs used on this site are not actual Vivaliti DNA customers unless otherwise noted. | As with any weight loss program, results cannot be guaranteed and your individual results will vary. Read More... | Special offers: The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for the free, discounted fee, or reduced fee service, examination or treatment. | Regarding supplements: These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.