FertilMARQ™ Package Insert - Embryotech Laboratories

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TM<strong>Embryotech</strong> <strong>Laboratories</strong>, Inc.323 Andover Street, Wilmington MA 01887 USA(800) 673-7500, (978) 658-4600, Fax: (978) 658-5777info@embryotech.com, www.embryotech.comPage 18
TMFertilMARQ Home Diagnsotic Screening TestResults FormDCBATestWell DReferenceColor AReferenceColor CTestWell BFill out this form completely for each test. If you decide toconsult a physician after testing, you should bring this form.Name: _______________________________TEST 1:Date of First Test: ________________________Check appropriate box: Positive: Color in Test Well B is equal to or darker thanReference Color A. Negative: Color in Test Well B is lighter thanReference Color A.TEST 2:Date of Second Test: ______________________Check appropriate box: Positive: Color in Test Well D is equal to or darker thanReference Color C. Negative: Color in Test Well D is lighter thanReference Color C.Physicians: See note on reverse sidePage 19
Page 1 and 2: KONFERENZ DER KANTONALEN VORMUNDSCH
Page 3 and 4: Instructions and UsePlease read all
Page 5 and 6: TMHow the FertilMARQ Home Diagnosti
Page 7 and 8: TMThe FertilMARQ Home Diagnostic Sc
Page 9 and 10: Directions for Performing the Test:
Page 11 and 12: 7Add TWO drops of CLEAR solution to
Page 13 and 14: Interpreting Test Results (continue
Page 15 and 16: Q3 Why wait at least 15 minutes but
Page 17: Q12 I ran two tests six days apart

FertilMARQ™ Package Insert - Embryotech Laboratories

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