EXHIBIT
10.133





PERFORMANCE
HEALTH TECHNOLOGIES, INC.


427
Riverview Plaza


Trenton,
NJ 08611


Telephone:  (609)
656-0181


Facsimile:  (609)
656-0869








Dear
Holders of Promissory Notes dated June 15, 2007:





The Company is requesting your consent
to an amendment of the maturity date of the above-referenced outstanding
promissory note issued by the Company and held by you which has a maturity date
of June 15, 2008 (the “Current Maturity Date”) to a new maturity date of
November 30, 2008 (the “New Maturity Date”) and waiver of any event of default
relating to the non-payment of such note as of June 15, 2008 (the
“Waiver”).





Toward that end, we ask that you
complete, sign and return this letter as soon as possible.





Please take a moment to sign and return
your consent by facsimile to 609-656-0869.







As
      of June 15, 2008
              
              Very
      truly yours,/s/
      Dominique Prunetti MillerDominique
      Prunetti MillerSecretary


The New
Maturity Date and Waiver is accepted


and
agreed by the undersigned noteholder:








By:
      /s/Mildred
BroussardName: Mildred
      BroussardDate:
      7-10-08











PERFORMANCE
HEALTH TECHNOLOGIES, INC.
 427
Riverview Plaza
 Trenton,
NJ 08611
 Telephone:  (609)
656-0181
 Facsimile:  (609)
656-0869
 
 
 Dear
Holders of Promissory Notes dated June 15, 2007:
 
 The Company is requesting your consent
to an amendment of the maturity date of the above-referenced outstanding
promissory note issued by the Company and held by you which has a maturity date
of June 15, 2008 (the “Current Maturity Date”) to a new maturity date of
November 30, 2008 (the “New Maturity Date”) and waiver of any event of default
relating to the non-payment of such note as of June 15, 2008 (the
“Waiver”).
 
 Toward that end, we ask that you
complete, sign and return this letter as soon as possible.
 
 Please take a moment to sign and return
your consent by facsimile to 609-656-0869.
 
  As
      of June 15, 2008
                
                Very
      truly yours,/s/
      Dominique Prunetti MillerDominique
      Prunetti MillerSecretary
 The New
Maturity Date and Waiver is accepted
 and
agreed by the undersigned noteholder:
 
 
 By: /s/Marilyn RettigName:Date:
      7-15-08
   
  PERFORMANCE
HEALTH TECHNOLOGIES, INC.
 427
Riverview Plaza
 Trenton,
NJ 08611
 Telephone:  (609)
656-0181
 Facsimile:  (609)
656-0869
 
 
 Dear
Holders of Promissory Notes dated June 15, 2007:
 
 The Company is requesting your consent
to an amendment of the maturity date of the above-referenced outstanding
promissory note issued by the Company and held by you which has a maturity date
of June 15, 2008 (the “Current Maturity Date”) to a new maturity date of
November 30, 2008 (the “New Maturity Date”) and waiver of any event of default
relating to the non-payment of such note as of June 15, 2008 (the
“Waiver”).
 
 Toward that end, we ask that you
complete, sign and return this letter as soon as possible.
 
 Please take a moment to sign and return
your consent by facsimile to 609-656-0869.
 
  As
      of June 15, 2008
                  
                  Very
      truly yours,/s/
      Dominique Prunetti MillerDominique
      Prunetti MillerSecretary
 The New
Maturity Date and Waiver is accepted
 and
agreed by the undersigned noteholder:
 
 
 By: /s/Joe SetinaName: Joe
      SetinaDate:
      7-24-08
   
  PERFORMANCE
HEALTH TECHNOLOGIES, INC.
 427
Riverview Plaza
 Trenton,
NJ 08611
 Telephone:  (609)
656-0181
 Facsimile:  (609)
656-0869
 
 
 Dear
Holders of Promissory Notes dated June 15, 2007:
 
 The Company is requesting your consent
to an amendment of the maturity date of the above-referenced outstanding
promissory note issued by the Company and held by you which has a maturity date
of June 15, 2008 (the “Current Maturity Date”) to a new maturity date of
November 30, 2008 (the “New Maturity Date”) and waiver of any event of default
relating to the non-payment of such note as of June 15, 2008 (the
“Waiver”).
 
 Toward that end, we ask that you
complete, sign and return this letter as soon as possible.
 
 Please take a moment to sign and return
your consent by facsimile to 609-656-0869.
 
  As
      of June 15, 2008
                    
                    Very
      truly yours,/s/
      Dominique Prunetti MillerDominique
      Prunetti MillerSecretary
 The New
Maturity Date and Waiver is accepted
 and
agreed by the undersigned noteholder:
 
 
 By: /s/Charles A. BallahName:Date:
   
  PERFORMANCE
HEALTH TECHNOLOGIES, INC.
 427
Riverview Plaza
 Trenton,
NJ 08611
 Telephone:  (609)
656-0181
 Facsimile:  (609)
656-0869
 
 
 Dear
Holders of Promissory Notes dated June 15, 2007:
 
 The Company is requesting your consent
to an amendment of the maturity date of the above-referenced outstanding
promissory note issued by the Company and held by you which has a maturity date
of June 15, 2008 (the “Current Maturity Date”) to a new maturity date of
November 30, 2008 (the “New Maturity Date”) and waiver of any event of default
relating to the non-payment of such note as of June 15, 2008 (the
“Waiver”).
 
 Toward that end, we ask that you
complete, sign and return this letter as soon as possible.
 
 Please take a moment to sign and return
your consent by facsimile to 609-656-0869.
 
  As
      of June 15, 2008
                      
                      Very
      truly yours,/s/
      Dominique Prunetti MillerDominique
      Prunetti MillerSecretary
 The New
Maturity Date and Waiver is accepted
 and
agreed by the undersigned noteholder:
 
 
 By: /s/James T. SmithName: James T.
      SmithDate: