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Iridology Analysis Pro Report Generator Demo
daprof
2020-02-11T22:07:50+00:00
Iridological Assessment Report
Step
1
of
5
- Client Information
0%
Clinic
Add your clinic or personal name.
Email
Apply email address to where the results will be sent to.
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Right Eye
Please upload right eye
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Left Eye
Please upload left eye
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Date
MM slash DD slash YYYY
Case name or number
*
Please do not apply patient or client real name.
Age
Gender
Male
Female
Main Complaint - Health History
The patient or client health history.
Health Genealogy Background
Does client know about any health issues with mother or father, grandmother or grandfather?
Right Eye
Please upload right eye
Left Eye
Please upload left eye
Constitutional Type & Subtypes
Lymphatic Constitution
Haematogenic
Biliary Constitution
Pathological Constitutions
Constitutional Syndromes
Pre Cancerous Constitutions
Right Eye
Please upload right eye
Left Eye
Please upload left eye
Iridological Data
Analysis
Enter results from Iridology Analysis Pro software.
Bexel Lab Data
Numerical Data Analysis
Upload section is for the Bexel Numerical Data results.
Pupillary Parameter Data
Upload section is for the Bexel Pupillary Parameter Data results.
Autonomic Nerve Wreath (Collarette) Data
Upload section is for the Autonomic Nerve Wreath Data results.
Biochemical Food Element Recommendations
Nutritional Recommendations
Iris Density
Additional Notes
Additional Recommendations
Terms of Service
I agree to the Terms of Service - Please Sign Below
Please review and sign the terms of service for this assessment.
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