Remote Tests Test Order Form

Remote Tests 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?*

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Shipping Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry

Remote Tests*

Anti-Mullerian Hormone Test [AMH]£70.00

Measure of ovarian reserve in women (blood sample)

Lifestyle Test [RBG] [LIPP]£69.00

RBG & LIPP Cholesterol and glucose (blood sample)

STI Check (Male) [CCG]£45.00

CCG Chlamydia and gonorrhoea (urine sample)

STI Check (Female) [SCG]£45.00

SCG Chlamydia and gonorrhoea (swab sample)

Thyroid Test [TF]£69.00

TF Free T4 and TSH (blood sample)

Women's Health Test [FIP]£99.00

FIP Female hormone profile: LH, FSH, Prolactin and Oestradiol (blood sample)

Vitamin D [VITD]£59.00

VITD Check for Vitamin D deficiency (blood sample)

Subtotal £0.00Tax £0.00Shipping £0.00Total £0.00

If you don’t want to receive relevant customer communications about our testing and services, please contact us at optout@londondoctorsclinic.co.uk.
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Remote Tests Order Form