J. Di Bartolomeo, M.D., Inc.
2420 Castillo Street, Suite 100           
Santa Barbara, CA  93105-4346
Website: earfdn.org
E-mail: earfdn@aol.com
Fax: (805) 563-2277

 

TO PURCHASE OUR NEW 2018 HIGH NUTRIENT PatulEND®, COMPLETE THE FORM BELOW

INCOMPLETE ORDERS WILL NOT BE PROCESSED

SHIP TO :

Name: Address:
City: State:
Zip: Country:
Tel: Email:


I have been diagnosed with a Patulous Eustachian tube on the Right  / Left  / or Both side(s),
by , M.D., (Please include diagnosing physician's name, fax or email, for us to mail them Order Forms for their office patient's.) or Self 

 

SYMPTOMS             ITEM SIZE      QTY PRICE
Plugged/Fullness PatulEND® 15 ml     $78.00

SHIPPING via:


 

DOMESTIC HANDLING: $12.30

TOTAL:

PAYMENT METHOD:
Check: Payable to J. Di Bartolomeo, M. D., Inc.. Print Form and Mail with your Payment.
MasterCard Visa Discover American Express

Account No.:
Exp. Date:
Card Verification No.

 


(click only once)

 

The improved, drug-free topical vitamin supplement does not require a prescription. It does not contain any pharmaceuticals, drugs or hormones. It does not contain any herbal derivatives, alcohol, sugar, wheat, yeast, preservatives, artificial additives or coloring.
The formulation consists of water soluble, essential synergy of the vitamin C complex of nutrients, and activated antioxidant properties for increased bio-availability to mucous membranes through balanced electrolytes for maximal absorption and effectiveness.
This results in better tissue healing and improved membrane function.
FDA exempt, all supplements are regulated differently than pharmaceuticals.

PRICE IS SUBJECT TO CHANGE WITHOUT NOTICE.

Disclaimer Please Read: Information about PatulEND is not intended to convey any Medical advice to patients nor is it intended in any way to establish or contribute to a doctor patient relationship. It is intended only for the purpose of general information and description.
We look forward to being of service to you. FORM 1(rev 04/2018)