Clarity - the Natural treatment for add / adhd

Order Form

To order Nurture & Clarity® for the treatment of ADD, and/or Nurture & Clarity-H® for the treatment of ADHD, please fill out the following form.

Please note that one bottle of Nurture & Clarity® is sufficient for approximately 1 month in the case of a small child, or approximately 2 weeks for an adult.

Note: Nurture & Clarity® has a long shelf life (approximately 3 years) – several bottles may be included in one order.

Please allow up to 10 days for delivery. Delivery will be made by courier, to your door.

New patients: please fill out the attached forms:
Diagnostic questionnaire - in English
Diagnostic questionnaire - in Hebrew

Read carefully before usage:
Instructions and dosage – in English (weight indicated in lb )
Instructions and dosage – in English (weight indicated in kg )
Instructions and dosage – in Hebrew

Patient's name:
Parent's name:
(if patient is a child)
Address (line 1):
Address (line 2):
City:
State:
Country:
Email:
Tel 1:
Tel 2:
Order:
Order Nurture & Clarity®  Number of bottles
Order Nurture & Clarity-H®   Number of bottles
comments:
Click to confirm your order:          

After submitting your order, you will receive an order confirmation via e-mail.


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