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Lab Testing Request
If you're requesting labwork, fill out the following form. If you're wanting to schedule an initial consultation for health history, go here: https://calendly.com/sparkingwholeness/functionalmed
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Email
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Your email
First and last name
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Date of birth
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Mailing Address
Your answer
Phone Number
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Test you want ordered
Custome lab panel
DUTCH hormone testing
Food inflammation test
Metabolomix Nutrient Test
GI map
Other:
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