Trace Elements HTMA Submittal Form 2010 free printable template

SUBMITTED BY Te i HTML SUBMITTAL FORM TRACE ELEMENTS, INC. (PLEASE PRINT) FIRST NAME: LAST NAME: SAMPLES SHOULD NOT BE OBTAINED FROM ANY PORTION OF HAIR THAT WAS PERMED, COLORED OR CHEMICALLY TREATED.

How to fill out Trace Elements HTMA Submittal Form

How to fill out Trace Elements HTMA Submittal Form

1. Begin by gathering the necessary patient information including name, date of birth, and contact details.
2. Indicate the referring physician's name and contact information.
3. Fill in the patient’s medical history and any relevant symptoms or health concerns.
4. Specify the type of test being requested (in this case, Trace Elements HTMA).
5. Include any special instructions or notes about the sample collection process.
6. Review the form for any errors or omissions.
7. Sign and date the form where required.
8. Submit the completed form to the designated laboratory.

Who needs Trace Elements HTMA Submittal Form?

1. Healthcare providers who are evaluating patients for mineral deficiencies or toxic metal exposure.
2. Clinicians involved in integrative or functional medicine.
3. Laboratories conducting hair tissue mineral analysis for diagnostic purposes.
4. Researchers studying trace elements and their health effects.

People Also Ask about

How to interpret HTMA results?

Trends Associated with the Calcium/Potassium (Ca/K) Ratio: Ratio: Trend: 32+ Severe low thyroid activity 75%+ energy loss. 16 – 32. Sluggish thyroid 50-75% energy loss. 8 – 16. Moderate sluggish thyroid 25-50% energy loss. 4 – 7.99. Mild sluggish thyroid activity 10-25% energy loss. IDEAL – 100% energy. 2 – 4. 1 – 2.

How much does a hair analysis cost?

An at-home kits costs between $64.95 and $85. Drug tests performed in a hospital or laboratory may cost between $100 and $125. If you're a current employee and your workplace requires you to take a hair strand drug test, they're required by law to pay you for the time spent taking the test.

What does an HTMA test tell you?

Hair tissue mineral analysis (HTMA) measures the mineral content of the hair, providing a blueprint of a person's biochemistry during the period of hair growth and development.

What is the significant ratio for Htma?

Ideally there should be a 2.4:1 ratio of sodium relative to potassium with a range of 1.4 to 3.4 being acceptable. Sodium and potassium reflect expression of the adrenal cortical hormones as well as renal control.

What does an HTMA test look for?

What does a HTMA test for. A hair tissue mineral analysis will test for the presence and level of any toxic heavy metals in the body, and will show what affect these heavy metals are having on your essential minerals.

What are trace elements in hair?

Sodium, chromium, sulfur, and cadmium in the hair correlate positively, while zinc correlates negatively with age. Hair sodium, potassium, chromium, and cadmium have positive correlations with BMI. Low hair selenium is believed to hasten disability and degeneration.

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What is Trace Elements HTMA Submittal Form?

The Trace Elements HTMA Submittal Form is a document used for submitting samples for hair tissue mineral analysis, which helps in determining the levels of trace elements in the body.

Who is required to file Trace Elements HTMA Submittal Form?

Individuals seeking hair mineral analysis, healthcare providers, or laboratories conducting such analyses are required to file the Trace Elements HTMA Submittal Form.

How to fill out Trace Elements HTMA Submittal Form?

To fill out the Trace Elements HTMA Submittal Form, you should provide personal information such as name, contact details, and any specific test requests, ensuring that all required fields are completed accurately.

What is the purpose of Trace Elements HTMA Submittal Form?

The purpose of the Trace Elements HTMA Submittal Form is to collect necessary information for processing and analyzing hair samples to assess trace element levels in an individual's body.

What information must be reported on Trace Elements HTMA Submittal Form?

The information that must be reported includes the individual's full name, contact information, date of birth, sample type, and any additional notes or specific requests related to the testing.