MZW Complete Wellness Panel II

– example: “Wellness Panel I” is the discounted bundle with 5 functional tests

Complete Wellness Panel II

$1,350.00

Metabolic Panel III

$170.00

Lipoprotein(a)

$50.00

APOE Alzheimer's Risk

$130.00

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Billing details

Country / Region *

Patient First Name *

Patient Last Name *

Patient Birth Date (MM/DD/YYYY) *

Patient Email *

Patient Phone Number *

Do you have an ordering Practitioner? *YesNo

Patient Gender *MaleFemale

Practitioner Name (optional)

Practitioner Credentials (optional)

Practitioner Phone (optional)

Practitioner Fax (optional)

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First name *

Last name *

Company name (optional)

Email address *

Phone *

Apartment, suite, unit, etc. (optional)

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State *

ZIP Code *

Referrals (optional)

Ship to a different address?

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Apartment, suite, unit, etc. (optional)

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Order notes (optional)

Your order

Product Quantity	Total
Cart Subtotal	$0.00
Order Total	$0.00

DHA Signature Care costs are applied on a per order basis, assessed at 10% of the total order cost, up to a maximum $15 value. Signature Care allows a licensed physician to authorize the laboratory test request for wellness purposes, and allows for full support of the order at every phase between ordering, shipping, and results reporting.

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