TRACE ELEMENTS, INC.T ieL A B O R AT O RY

S E R V I C E S

P O L I C I E S

D I S C O U N T S

T R A C E

E L E M E N T S

I N C .

Trace Elements, Inc. is Licensed by:U.S. Department of Health And Human Services,State of Texas Department of Health,C.L.I.A.,1988No.45-D0481787

NOVEMBER 1, 2012

P R O F I L E 1 P R O F I L E 2 P R O F I L E 3

Patient will receive a copy ofthe test results (graphic illustration of levels and ratios).Doctor will receive a file copyof the test results (graphicillustration of levels and ratios).

Prepayment ........$37.00Charge................$40.00

Includes:Test Results Only.

Multi-Element Assayof Hair (36 Elements)

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Prepayment ........$51.00Charge................$54.00**

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Prepayment ........$47.00Charge................$50.00**

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Copy of the test results (graphicillustration of levels and ratios).A complete individualized evalua-tion and detailed discussion of thepatient’s metabolic type, currentmineral levels and ratios, and theirimpact upon body chemistry.Recommendations of specificfoods and food groups, along withan explanation of why each food issuggested.Supplement recommendationsbased upon age, sex, metabolictype, mineral patterns and specificneed as seen on the tissue mineralanalysis and other accompanyingclinical test data.

File copy of test results (graphicw

illustration of levels and ratios).An individualized technicallyoriented interpretive report ofmineral levels, ratios and their im-pact upon specific disease trendsthat are listed and discussed.Recommendations of other clinicaltests that may be performed toconfirm clinical or sub-clinicaltrends as indicated from the tissuemineral analysis data.Supplement recommendationsbased upon age, sex, metabolictype, mineral patterns and specificneed as seen on the tissue mineralanalysis and other accompanyingclinical test data.

Includes:Comprehensive Interpretations for both the Doctor and the Patient.PATIENT REPORT:

Multi-Element Assayof Hair (36 Elements)

Copy of the current and previous testresults (graphic illustration of levelsand ratios).A complete individualized evalua-tion and comparison of currentmineral levels and ratios withprevious test data. Each evalu-ation will include discussion ofchanges in mineral patterns, asindicated.Recommendations of specificfoods and food groups, along withan explanation of why eachindividual food is suggested.Modifications in supplementrecommendations as indicatedfrom the tissue mineral analysisand other accompanying clinicaltest data.

File copy of the current andprevious test results (graphicillustration of levels and ratios).Modifications in supplementrecommendations.

PATIENT REPORT:

Includes:Comprehensive Patient Evaluation andDoctor’s File Copy of Test Results.

(For Retest Only) Multi-Element Assay of Hair (36 Elements)

DOCTOR REPORT:

DOCTOR REPORT:

ELEMENTS TESTED

PROFILES 1,2,3,4 and 5:Calcium, Magnesium, Sodium,Potassium, Copper, Zinc,Phosphorus, Iron, Manganese,Chromium, Selenium, Boron, Cobalt,Germanium, Molybdenum, Sulfur,Uranium, Arsenic, Beryllium,Mercury, Cadmium, Lead, Aluminum,Barium, Bismuth, Rubidium, Lithium,Nickel, Platinum, Thallium, Vanadium,Strontium, Tin, Titanium, Tungstenand Zirconium.

PROFILES 10 and 16:Calcium, Magnesium, Sodium,Potassium, Copper, Zinc,Phosphorus, Iron, Manganese,Chromium, Selenium, Boron, Cobalt,Germanium, Molybdenum, Sulfur,Uranium, Arsenic, Beryllium,Mercury, Cadmium, Lead, Aluminum,Barium, Lithium, Nickel, Platinum,Vanadium, Strontium, Tin, Tungstenand Zirconium.

LABORATORY TECHNIQUES

ANALYTICAL METHOD (All Profiles):ICP-Mass Spectrometry

DIGESTION METHOD (All Profiles):Uniform Temperature-Controlled

Microwave Digestion

SAMPLE PREP. (Profiles 1,2,3 and 4):Standard Non-Wash

SAMPLE PREP. (Profile 5):Standard Wash

SAMPLE PREP. (Profile 10 and 16):TEI Standard DI Rinse

HTMA

WATER

CONTAMINANTS TESTED

One copy of the test results in aneasy to read graph format.Testing includes all metals currentlylisted as EPA Primary (Health Related) and Secondary (Aesthetic or Nuisance) Regulatory Drinking Water Contaminants in addition to other potential contaminant elements. Test alsoincludes Fluoride and PH. Contains brief informative listing of potential causes, risks and/ or effects of elevated EPA recognizedcontaminants.

PROFILE 20:Calcium, Magnesium, Sodium,Potassium, Copper, Zinc, Iron,Manganese, Chromium,Selenium, Uranium, Antimony,Arsenic, Beryllium, Mercury,Cadmium, Lead, Aluminum,Barium, Nickel, Thallium,Fluoride and pH

Important Note: This profile requiresa prepaid water sampling kit containingapproved sterile sample bottle, complete instructions and return labelwith prepaid USPS Priority Mail returnpostage shipping container. (Note: Norefund provided upon shipment ofsampling kit)

P R O F I L E 4

)eniuqE( 61 ELIFORP5 ELIFORP

P R O F I L E 1 0 ( C a n i n e ) P R O F I L E 2 0 ( W a t e r )

Prepayment ........$41.00Charge................$44.00**

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***Prepayment........$46.00Charge ...............$49.00

Charge................$44.00Prepayment ........$41.00

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Prepayment ........$56.00

Prepayment (only)........$11.00

Prepayment ........$87.00Charge................$92.00

Charge................$59.00

Multi-Element Assayof Hair (36 Elements)Includes:Interpretation for Patient.

Two copies of the test results (graphic illustration of levels and ratios). An individualized evaluation and discussion of the patient’s current mineral levels and ratios, and their impact upon body chemistry.

PATIENT REPORT:

Multi-Element Assayof Hair (32 Elements)

Includes:Test Results and SupplementRecommendations.

One copy of the test results (graphicillustration of levels and ratios).Individualized supplementrecommendations based solelyupon hair mineral patterns.

Multi-Element Assayof Hair (32 Elements)

Includes:Comprehensive Interpretation.

Copy of the test results (graphicillustration of levels and ratios).An individualized evaluation anddiscussion of mineral patterns andtheir impact on chemistry.Tissue mineral levels related tofeed and water mineral contentare also discussed. Supplementrecommendations based solelyupon hair mineral patterns.

Multi-Element Assayof Hair (36Elements)

Includes:

Includes:Test Results Only.

Patient will receive a copy of the test results (graphic illustration oflevels and ratios).Doctor will receive a file copy ofthe test results (graphic illustrationof levels and ratios).

Informational Drinking WaterChemistry Report (22 Elements)

PRICES AND TERMS SUBJECT TO CHANGE WITHOUT NOTICE

ANIMAL SERIES

H A I R S A M P L E C O L L E C T I O N P R O C E D U R E ( H U M A N )

DISCOUNTS

B I L L I N G P O L I C Y

SAMPLE COLLECTION (OTHER)

TRACE ELEMENTS, INC.T ie

Source, Location and Preparation Hair Weight Requirement

Unacceptable Samples Prepayment:

4501 SUNBELT DRIVE ADDISON, TEXAS 75001E-MAIL: teilab@traceelements.com (800) 824-2314 (972) 250-6410 FAX (972) 248-4896

www. traceelements.com

Scalp hair is the only source

recommended for analysis. Pubic andother body hair is suggested only for

the confirmation of elevated toxicmetals and/or to rule out externalcontamination of the scalp hair.

The collected specimen should beuntreated, i.e. not permed, dyed orbleached. If the hair has beenchemically treated, wait until sufficientnew virgin growth has emerged to allowcollection. The hair should also be freeof gels, oils and hair creams prior tosample collection. For those individualsenvironmentally and/or occupationallyexposed to external contaminants,(welding, mining, etc.) special careshould be taken to limit exposurebetween washing of the hair and thecollection of the sample.

Each collected sample should be takenin small portions from at least four or

five different locations of the scalp. Therecommended areas for collection arethe nape of the neck, posterior vertex

and posterior temporal regions.

Using high-grade stainless steel scissorsor thinning shears, cut the hair as closeto the scalp as possible. The samplelength should not exceed one and one-

half inches. Retain the proximal portion(one and one-half inches closest to theroot) and discard the excess.

120 milligrams (0.12 g) is requested for

a complete test panel. Hair specimens

that do not meet the minimum weight

requirement will be marked as QNS

(Quantity Not Sufficient) and held for

doctor notification.

Note: Use of the TEI Hair Weight Scale

card will ensure the collection of

sufficient sample weight.

Any one of the following conditions will

cause a sample to be delayed or

rejected for laboratory processing:

Hair specimen exposed to

staples, paper clips, adhesive

tape, aluminum foil and other

metal materials;

Hair specimen enclosed in

unapproved plastic bags;

Hair specimen not accompanied

by a TEI submittal form, completed

in its entirety and signed by a

healthcare professional.

Please refer to specific submittal and

collection procedure forms for directions

and requirements to obtain proper canine,

equine and water samples.

Statements are sent on the 1st of

month. Statements are due

and payable upon receipt. Any

account over 30 days past due may

be charged at the rate of 1 percent

($3.50 minimum service charge) per

month (12 percent per annum). Any

further orders must be prepaid, or

will be sent C.O.D. until account is

brought up to date. Trace Elements,

Inc. has an established client credit

limit of $1200.00

Sufficient credit on account

or payment by either check,

money order or credit card

included with sample and test

request form. (Credit card

payment requires authorization

form to be on file with TEI.)

Charge:Billed to account at end of

month.

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In addition to the normal prepayment

discounts on laboratory services,

Trace Elements also offers volume

discounts. When requested, an

additional 10% discount will be

credited to those accounts that send

in 25 or more samples during a

monthly billing period.