Blood Test Request Form - Non enrolled client

Please fill out this form to the best of your ability. All information will be stored securely in accordance with Privacy Act 2020.

Other

Please state any other test you would like to request below.

Payment

Test request $22.00. You will be sent an invoice via email once your blood request has been submitted. Once payment has been cleared, your blood test form will be send to your address.

The results will be send to you in an email with any applicable comments.

I agree that if the results are out of the normal range and I want to discuss these, I will need to make an appointment to discuss my results and treatment options.

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