Functional Medicine Lab Test Order Form

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Please submit all information to order your lab tests!

Please order directly from me (not equilife) to ensure I can access your results.

After submitting your order you will receive an invoice. Upon payment, you'll immediately receive next steps via email and labs are mailed to the address you submit below.

Clients outside of AU, US & SG are responsible for the return cost shipping with Fedex or UPS overnight recommended. Will provide final shipping amount on invoice.

Email *

Name *

Shipping Address (where the labs will be sent)
Please note labs can't be shipped to New York State by law. Send to another address (fam, friend, office). *

Please tick which you're ordering (US)

Women's Wellness Test ($249 USD)

Stress Mood & Metabolism ($499 USD)

Minerals & Metals ($199 USD)

Food Sensitivity Test ($399 USD)

Candida, Metabolic & Vitamins ($399 USD)

Gut Bacteria & Parasite ($599 USD)

Adrenal Hormones & Stress Test ($399 USD)

Omega 3 Inflammation ($199 USD)

Cortisol ($179 USD)

Labs you're ordering (AU clients only)

Food Sensitivity ($575 AU)

Women's Hormones ($550 AU)

Minerals & Metals ($265 AU)

Gut Microbiome Map - Stool ($575 AU)

Thyroid (TSH, Free T3, Free T4) - $125 AU

Labs you're ordering (SG clients only)

Please tick which you're ordering

Food Sensitivity ($575 SG)

Women's Hormones ($470 SG)

Minerals & Metals ($269 SG)

Gut Microbiome Map - Stool ($660 SG)

Thyroid (TSH, Free T3, Free T4) - $125 SG

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