Work Sheet

(If you have a copy of natal chart, please enclose copy) ASPECTS PLANETS

PARTS OF BODY INDICATED:

Birth data:

CROSS

CELL SALTS

Dose:

POSSIBLE TESTS INDICATED:

Cholecystography:_

Colon (Barium Enema): Chem. Screening (SMA): (blood) 12-16-20

Five-Hour Glucose: _

17-Ketosteroids: _

Serum Creatinine:

Liver Profile: SGOT:_

.(Cardiac)

Lipoprotein/electrophoresis:

Total Lipids:_

_(Cholesterol)

.(complete blood count)

Sodium/Potassium:

SUGGESTED SUPPLEMENTS:

SUGGESTED DIET:

HERBS:

HOMEOPATHIC REMEDIES:

JUICE THERAPY:

OTHER: Bath_

Foot Massage _ Massotherapist

Nutrition Almanac.

COMMENTS: Detoxify ___

or Begin Vitamin Therapy

DRUGS TAKEN: Overdose___'

Adverse Reaction Test _

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