Criteria for use of Rx prescriptive ethical product:
Please make sure your dog has:
* Clinics and clients must provide their own protective inflatable collar best suited for erect ears or cone collar.
* Treatment Installation Instructions provided to participants upon confirmation of order form and signed waiver. *
Process to Order:
1. Copy the Auralsplint 2024 Participant Order Form below.
2. Click on Email address at top of page, and paste the copied order form into new email. Enter cursor into new email. Scroll down into this new email and type in your answers.
3. Type in your names in the Samaritan waiver to accept participation.
4. Attach pictures of both ears of animal for reference and inclusion in your case file and send email.
5. Auralsplint will return a confirmation notice along with the Instruction tutorial and answer any questions needed to fulfill your Auralsplint Treatment Kit order.
6. Go to PayPal button below, click and submit payment $78.00.
I will return to you confirmation of receipt of order, and any questions I may have to complete your order. A complete set of Treatment Instructions (PDF) will accompany my reply. Only the name of animal and case number will be used in all reporting. All personal information is kept private and will not be shared. The survey form (sent by email after treatment conclusion) is to be filled out and returned to Auralsplint@yahoo.com for inclusion in your case file and in the subsequent studies.
Please take a picture after application of the plates and send this to Auralsplint for verification and inclusion in your case file.
The Auralsplint™ ethical treatment is only for sale here at this time and included with participation in the study. We charge for the postage to ship the treatment next day USPS where available to you, and the costs of materials and handling. Treatment kit includes proprietary Auralsplint plates, 2 rolls medical tape, bandage scissors, alcohol wipes, hypodermic needle, instructions for the 14 day treatment.
Shipping and materials are paid through PayPal. Account holders and credit/debit card accepted.
Veterinary Starter Packs will be invoiced separately through PayPal. Zelle payment is also accepted.
Total costs include next day USPS in the USA $78.00 USD. International orders will be invoiced from Auralsplint to email recipient for payment processing after total costs figured. All orders will be confirmed before processing and shipping. Next day USPS orders are determined by location. Could be second day for those off the beaten path. 2-Day shipping will be notified by text with copy of shipping receipt to track.
*Copy and paste order form below into new email with address above. Enter cursor into new email and answer questions, type sign waiver, press send. Auralsplint will contact you as soon as email is received and processed.
* Auralsplint™ 2024 Participant Order Form *
Animal Name:
Animal weight:
Animal age:
Animal sex:
Has the animal had an aural hematoma before and what ear?
How long has this hematoma been present (days and weeks)?
How many aspirations have taken place before treatment aspiration? Specify needle or other.
Has the animal been on any medications, what kind and what dosage?
Has the animal been treated before with surgery?
Has the animal been treated before with holistic medicines or therapies?
Vet diagnosis about possible infestation or infection:
Measurements and specifics of the ear:
Height of ear from head:
Width around back of ear curve (see diagram):
Type of ear pendent or erect:
Type of animal breed:
Animal’s left ear or right ear:
Owner Name and Shipping Address and Phone Numbers:
Case Study Number: AHS
Auralsplint™ Samaritan Waiver
I, (type sign name here ) , do hereby release Auralsplint Inc. PBC and its owners and affiliates of any liability due to the misuse, misapplication, or any wrongful behavior resulting in any damages occurring during treatment. Auralsplint™ retains rights to proprietary product and shall not be shared, redistributed or duplicated by any means. As with any Rx medical prescription, the results are not guaranteed. I have read the Participant Acceptance information on Measure the Ear page.
For Office Use:
Participant Name:
Date:
Case #
End of Order Form
($33.00 shipping)
All orders are subject to authorization and waivers signed in order form.
Use the Case File Number given to you at time of acceptance as comment.
Auralsplint
Auralsplint Inc. PBC Justin, TX 76247 USA
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