American Association of Sports Medicine Technicians
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Diabetes Reversal Consultation

    DD/MM/YYYY
    Include Area Code
    Years
    Today and over the past week.
    Include Date.
    1-10. If >6, may include primary source of stress
    Use tobacco or nicotine in any form.
    Per 24 hours.
    Picture
    Based on complete Body Composition Analysis only.
    Based on a complete Fitness Analysis only.
    Based on a complete Nutrition Analysis only.
    1-10. If < 6, may include why not?
    Mark all that apply.
    # of Weeks or Months
    Max file size: 20MB
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AASMT
Because Exercise is Powerful Medicine and Fitness is the Cure.

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