Test Request
Please fill out the form below to request a test and we will get back to you with a confirmation. If you have any questions or would like to customize your request, please call us at (310) 372-7234 or email thesolutioniv@gmail.com.
Email address *
Last Name *
Your answer
First Name *
Your answer
Date of Birth *
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DD
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YYYY
Type of a service *
The blood draw for the test is performed every Monday and Wednesday, between 8am and 12pm. Please let us know whether Mondays and Wednesdays work best for you. *
Required
Reasons to get a test *
Your answer
Other Comments
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