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Complete the form below to request pricing for specialty laboratory testing service. Please list the tests, panels, biomarkers, or laboratory services you would like reviewed.
Patient Information
Parent/Guardian Information (If Applicable)
Shipping Information
Requested Testing
Example:
Vitamin D, CBC, CMP, Ferritin, Iron Panel, Thyroid Panel, A1C, Lipid Panel, Food Sensitivity Testing, Hormone Testing, Gut Health Testing, etc.
Do you have a list, screenshot, physician order, lab recommendation, or photo of the tests you would like reviewed?
Specimen Collection Preference
IMPORTANT ACKNOWLEDGMENT
I understand that this form is a request for laboratory testing information and pricing only. Integrity Lab Solutions provides specimen collection and laboratory testing coordination services and does not provide medical advice, diagnosis, treatment, or interpretation of results.*
I understand that laboratory testing services are self-pay and are not billed to insurance through Integrity Lab Solutions. Testing options and pricing will be reviewed before services are scheduled, and a representative from Integrity Lab Solutions will contact me regarding my request.*
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