Clinic Address: Workbase, Main St, Sleveen East, Macroom, Co. Cork, P12 WN82
Macroom Booking Form
*
Bloods Packages Available
*
prev
next
( X )
Routine Health
Routine Bloods – Full Blood Count, Liver Health, Kidney Health, Heart Health, Cholesterol Health, Diabetes Heath
€
50.00
Female Health
Routine Bloods – Full Blood Count, Liver Health, Kidney Health, Heart Health, Cholesterol Health, Diabetes Heath, Thyroid Health, Iron Studies
€
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Female Hormonal, Menopause, HRT
Routine Bloods – Full Blood Count, Liver Health, Kidney Health, Heart Health, Cholesterol Health, Diabetes Heath, Thyroid Health, Iron Studies, Hormonal Health
€
130.00
Quantity
1
2
3
4
5
6
7
8
9
10
Male Health
Routine Bloods – Full Blood Count, Liver Health, Kidney Health, Heart Health, Cholesterol Health, Diabetes Heath, Thyroid Health, Iron Studies, PSA (aged 40+)
€
100.00
Quantity
1
Male Hormonal Health
Routine Bloods – Full Blood Count, Liver Health, Kidney Health, Heart Health, Cholesterol Health, Diabetes Heath, Thyroid Health, Iron Studies, PSA (aged 40+), Hormonal Health
€
130.00
Quantity
1
2
3
4
5
6
7
8
9
10
Testosterone Health
Testosterone, Sex Hormone Binding Globulin, Free Androgen Index
€
70.00
Quantity
1
2
3
4
5
6
7
8
9
10
Male/Female Fertility
Routine Bloods, Thyroid Health, Hormonal Health, Nutritional Health,Iron Studies, Liver Health, Diabetes Health, Stress, Hearth Health, Kidney Health, CRP
€
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Male/Female Fertility Panel + AMH
Male/Female Fertility Panel + AMH
€
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Male/Female Fertility Panel + Standard CT/NG
Male/Female Fertility Panel + Standard CT/NG
€
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Arthritis/Joint Health
Routine Bloods, CRP, ESR, Ana,Anca, Rheumatoid factor, Uric Acid
€
130.00
Quantity
1
2
3
4
5
6
7
8
9
10
Athletic Health Screen
Comprehensive Health Screen Package
€
250.00
Quantity
1
Stress Health
Routine Bloods,Cortisol, DHEA-S
€
100.00
Quantity
1
Pregnancy Test
HCG
€
50.00
Quantity
1
Heart Health
Routine Bloods, Cholesterol Screening
€
100.00
Quantity
1
Fatigue Screen
Routine Bloods, Thyroid, CRP, Iron Studies, B12, Folate. Ferritin, Vitamin D,Calcium, Magnesium
€
130.00
Quantity
1
Thyroid Health
Routine Bloods,Thyroid Studies
€
70.00
Quantity
1
STI Screening
Chlamydia, Gonorrhea, Hepatitis B, Hepatitis C, Syphilis, HIV
€
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Please Select
Male
Female
Other
Date Of Birth
*
-
Day
-
Month
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
I have read and agree to the Terms and Conditions on medelhealthcare.com/t&cs
*
Yes
Submit
Should be Empty: