Vital Health Assessment

Instructions for Receiving Your Assessment:

1.   Download and print the application form. Vital Assessment application form

2.  Complete the fist page application form  with your personal health information and sign the at bottom.
Be sure to print clearly your email address.

3.  Complete the second page by choosing which tests or services you wish.

4.  Pay for the services with your credit card by filling out this on line form below.
You will get a confirmation code from paypal.  Include that code in the space provided on the second page.
Just click the desired ‘add to cart’ button.  Paypal will give you the option of returning to this page to add further items to your cart.

5.   Cut a hair sample (6-10 hairs – 1/2 to 1 inch) and enclose in a small plastic bag.

* testing not affected by coloring/bleaching.
* hair can be from any part of head.

6.  Enclose hair sample and page one and two of application to:

Vital Health Assessment
4816  143 Street
Edmonton Alberta, T6H 4C8
Canada

	Service or Assessment Requested
	Basic Body Assessment Includes: •    Whole body vitality, vitality inhibitors including inflammation, Candida, heavy metals, parasites, food sensitivities, and environmental sensitivities. •    Protein, fat, carbohydrate, raw food, cooked food, juiced food assessments. •    Exercise, rest and breathing recommendations. •    6 body systems and 5 major organs. Reduced from Regular price of $80.00		$59.00
	Common Food Sensitivity Assessment: Over 140 foods tested.  Includes beverages, grains, condiments, dairy products, nuts and seeds, fruits, vegetables, oils, sweeteners, and proteins. Reduced from regular price of $120.00		$99.00
	Real Food Sensitivity Assessment: Over 160 foods tested. Includes beverages, grains, condiments, diary products, nuts and seeds, fruits, vegetables, oils, sweeteners, and proteins.  This test is similar to the ‘Common Food Sensitivity Assessment’ test but has a larger range of whole foods including herb spices, natural sweeteners, and healthy condiments.  It does not test for example artificial sweeteners, colas and margarine. Reduced from regular price of $130.00		$109.00
	Combination #1  Basic Body & Common Food Sensitivity Assessment Save $18.00 off the already reduced price.		$140.00
	Combination #2 Basic Body & Real Food Sensitivity Assessment Save $19.00 of the already reduced price.		$150.00
	30 Minute Consultation with Real Food Coach		$39.00