Please print all 3 parts of the Personal Consultation Form and fill out the requested information.  Then mail the forms and a postal money order for $70 (personal consultation fee) to:
Nutritional Solutions  -  P. O. Box 731  -  Hazelwood, NC  28738
Upon receipt of consultation form and payment, I will study the
information and be in contact with you within 48 hours.

NOTE:  I need the results of a laboratory test performed on urine collected over a 24 hour period.

NOTE:  I need the test results from above to design a
personalized nutrition program for you.

Proceed to PART 2 of the Consultation Form.