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 receive next steps via email and labs are mailed to the address you include below.

International clients outside US/AU - please note international shipping charges will apply on top of fee quoted below. Will provide final shipping amount on invoice.

Clients outside of AU & US are responsible for the return cost shipping with Fedex or UPS overnight recommended.

Email *

Name *

Shipping Address (where the labs will be sent)
Please note these cannot be shipped to New York State. Send to another address (fam, friend, office). *

Labs you're ordering (US & non-Australia Clients)

Please tick which you're ordering

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)

Omega 3 Inflammation ($199 USD)

Cortisol ($179 USD)

Labs you're ordering (AU clients only)

Please tick which you're ordering

Food Sensitivity ($575 AU)

Women's Hormones ($550 AU)

Minerals & Metals ($400 AU - note: doesn't include return shipping to be arranged by client)

Gut Microbiome Map - Stool ($575 AU)

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

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