Labwork Order Form – Age Well Dr

LABWORK ORDER

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Gender

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LAB PANELS

Please Choose which lab panels you would like

Annual Blood Work (CBC, CMP, A1C, TSH, Lipid Panel) - $86.99
Iron Panel (Iron, Ferritin, TIBC, B12, Folate) - $86.99
Male Panel (CBC, CMP, Lipids, A1c, TSH, FT3, FT4, DHEA-S, PSA,Testosterone, Estradiol, Vitamin D) - $221.99
Female Panel (CBC, CMP, Lipids, A1c, TSH, FT3, FT4, DHEA-S, Progesterone, Estradiol,Testosterone, Vitamin D) - $221.99
NMR LIPID PANEL - $126.99
Ultimate Male Panel (CBC w/ Diff, CMP, Lipid Panel, A1c, TSH, FT3, FT4, DHEA-S, Testosterone, Estradiol, Vitamin D, Cortisol, FSH, LH, CRP(hs Cardiac), Iron, Ferritin, TIBC, B12, Folate, Transferrin, Insulin, Homocysteine, Apo B, Lipoprotein A, SHBG, IGF-1, PSA, UA Complete) - $459.99
Ultimate Female Panel (CBC w/ Diff, CMP, Lipid Panel, A1c, TSH, FT3, FT4, DHEA-S, Testosterone, Estradiol, Vitamin D, Cortisol, FSH, LH, CRP(hs Cardiac), Iron, Ferritin, TIBC, B12, Folate, Transferrin, Insulin, Homocysteine, Apo B, Lipoprotein A, SHBG, IGF-1, Progesterone, UA Complete) - $459.99

List any additional tests you are interested in here

Total

$0.00