Delasco

Electrolite Sample Request Form

Delasco Electrolite

If you are a US physician and would like to try a Delasco Electrolite, please provide the information below.

You should receive your FREE sample in 2 - 4 weeks.

Note: Federal law restricts the sale of this device to licensed physicians. Electrolites are intended for dermatologic purposes only.

  • Address Information

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  • Contact Information

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  • Account Information

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