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Blood Work Order Form

ShippingPatient info & Payment
Shipping
Payment
MedicationQuantityPrice
Baseline: Total & Free Testosterone, PSA, LH, FSH, CBC, CMP, Estradiol
1
$125.00
Entry: Total Testosterone, PSA, CMP, CBC
1
$79.00
Optimized: Free & Total Testosterone, PSA, LH, FSH, CBC, CMP, Thyroid, TSH, Lipid, SHBG, Estradiol
1
$200.00
Ultimate: Free & Total Testosterone, PSA, LH, FSH, CBC, CMP, Thyroid, TSH, Lipid, IGF-1, Prolactin, SHBG, A1C, Cortisol A.M, Estradiol
1
$300.00
Order Summary
MedicationQuantityAmount
Baseline: Total & Free Testosterone, PSA, LH, FSH, CBC, CMP, Estradiol1$ 125.00
Order Total
$0.00

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