Food Intolerance & Gut Microbiome Test

Food Intolerance Test Order Form

Please complete with the patient's details. Deliveries are to the UK only.
First Name*
Last Name*
Date of Birth*

DayMonthYear
Gender*
Your Email*
example@example.com
Mobile Number*
Billing Address*

Street Address

Street Address Line 2

City

Post CodeCountry
Is shipping address same as billing address?*

YesNo
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry

My Products*

Food Intolerance Test£249.00

Home test includes self-collection blood sample kit. Results usually available within 3 days of receipt of sample by the lab.

Food Intolerance Test with Nutritional Therapist Consultation£279.00

Home test kit and additional 30-minute telephone consultation with expert Nutritional Therapist

Subtotal £0.00Shipping £0.00Total £0.00

Food Intolerance Test Order Form