Client Instructions for Electrolipogram Analysis (Technosport)

Client Name:	___________________________________				Phone: (H):	___________
(W)	____________		FAX	____________	Email	___________
Appointment Date:		_______________________			Time:	___________

Avoid heavy exercises for 6 hours before your test.

Do not eat any food during the 4 hours prior to your test. If you are thirsty, drink a moderate amount of water only.

Be sure to use the rest room to empty your bladder just before the test.

If you are using any prescription or off the shelf medications, please notify the technician before the test is administered.

Technician ____________________________