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Medication, Vitamin, Food & Herb Interactions can kill! Give your medications a "Check-up" today.

Let us use our sophisticated computers to check if you are having interactions, which can prove deadly, between your medications, food, herbs & more. You might even be taking medications you have an allergic reaction to. Even if you are on medications short term or have a certain condition you're not sure is interacting with supplements you're taking, find out for sure & let us make a personalized profile for you.

Steps for obtaining an Interaction Profile:
1.) Use the Online form below to send your profile history via e-mail to us or push print to print it out & mail it to us.
2.) Make out a check or money order (US funds only please) for the amount of $50.00, please make payable Dr. M. Miczak. Your profile materials will be sent once we have the fee paid in full.
3.) You will have your profile sent to you for your review in the comfort & privacy of your own home.
If you have any questions, feel free to contact the office here & someone will get right back to you. Don't wait, get the answers you need today.

Send Fee/printed out form to:
Interactions Profile, P.O. Box 312, Manalapan, New Jersey, 07726 USA

Online Form

Dr. Miczak's Apothecary Interaction Form

Your full name:
Your email address: (e.g.: you@aol.com)

Your phone number (with country, city, area codes):

Address:
City/Town: State/Prov.: Post./Zip Code:
Country:

Please tell us if you have any allergies to food, drugs, etc...
(optional) Please tell us any conditions you have been diagnosed as having...
Do you use viatamins   Yes, I do   No, I don't   Thinking about doing so
Please tell us in depth what you are taking, vitamins, herbs, drugs, etc.

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Your personalized interactions profile will only be mailed to you after we receive the fee of $50.00 paid in full to our office, after then we will mail out everything. No refunds on services provided. Fee is to be sent to P.O. Box 312, Manalapan, NJ 07726 USA & made payable Dr. M. Miczak. If you have any questions, feel free to contact us at Interactions Profile Click HERE to return to Dr. Miczak's Apothecary website. This page falls under copyright © 1998 Dr. M. M., P.D. Productions & Dr. Miczak's Apothecary. All rights reserved.