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?
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry

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 Tax Shipping Total £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