Information about http://www.serovera.com/progress-chart.pdf
…
Tags: accuracy, address fax, amp, cypress creek road, data sheet, diagnosis, dramatic reduction, extreme pain, fort lauderdale, intensity, little time, mail, phone number, recovery time, serovera,Pages: 1
Language: english
Created: Wed May 21 13:30:20 2008
Display cached document
Page 1
SEROVERAŽ AMP 500 ______________________Your Full Name
1451 W. Cypress Creek Road Suite 300 ______________________Diagnosis/Problem
Fort Lauderdale, Fl 33309 ______________________Phone Number
SEROVERAŽ AMP 500 1-877-SEROAMP (1-877-737-6267)
Phone 954-288-8399
______________________Email Address
Fax 954-267-8807
www.serovera.com
Recording your data takes very little time, and can result in dramatic reduction in your recovery time.
Every 30 days, please fax or mail completed data sheet to SEROVERAŽ
Note: Accuracy is absolutely critical to success
Circle one before sending: This is the 1st, 2nd, 3rd, 4th, 5th, 6th, data sheet I've completed.
Symptoms: Rate each symptom nightly with a number representing the level of intensity, 0 = non-existent, 10 = extreme pain, and all in between.
Write "NA" for symptoms you never experience.
Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Capsules Consumed:
Qty of Bowel Movements (24hr.
Period):
Cramping:
Nausea:
Headache:
Rectal Bleeding:
Fatigue:
Number of Loose Stools:
Gas:
Bloating:
Passing Mucus:
Constipation:
Note: Enclosed is a Diet to
Speedy Recovery - please
adhere to it.:
Y=Yes I followed the diet.
No=No, I did not.:
*Please note, this is for information purposes only, we DO NOT provide medical advice. Please include all prescription medications you are taking on a separate document.