Powerhouse: Non-Client DIY Labs

My Products

Venipuncture fee *** REQUIRED ***

This is a required fee from the lab company for performing the lab draw.

$11.00 Quantity

Testosterone Total, Free, and SHBG

Enter description

$75.00 Quantity

FSH & LH

fertility hormones

$40.00 Quantity

SHBG (Sex Hormone Binding Globulin)

Synonym: Free Androgen Index (FAI)

$40.00 Quantity

Estradiol

Enter description

$20.00 Quantity

Lipid Panel

HDL, LDL, Total Cholesterol, Triglycerides, VLDL - Do not eat or drink after midnight the night prior for accurate results. (Can have water.)

$14.00 Quantity

Vitamin D level

Vitamin D, 25-OH, Total

$40.00 Quantity

Vitamin B12 level

$20.00 Quantity

CBC

Complete Blood Count

$8.00 Quantity

CMP

Comprehensive Metabolic Panel

$15.00 Quantity

PSA, Free & Total

Prostate Specific Antigen

$20.00 Quantity

TSH

Thyroid Stimulating Hormone

$48.00 Quantity

TPO Antibodies

$35.00 Quantity

Cortisol

Morning lab draw: 8am needed for accuracy.

$12.00 Quantity

T3, Free

$20.00 Quantity

T4, Total

$20.00 Quantity

Total

$0.00

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RELEASE FORM- Please READ in full.

Purpose of the Test:&#13;&#10;This form is to acknowledge that you, the client, are requesting laboratory blood testing.&#13;&#10;&#13;&#10;Scope of Service:&#13;&#10;The clinic will order your requested blood work once submitted and will facilitate the collection and processing of your blood sample to be completed at any LabCorp location (anywhere).&#13;&#10;You will be provided with a copy of your lab results once they are available via e-mail.&#13;&#10;We do not accept insurance.  These labs are "self-pay" only and a "super-bill" will not be provided for insurance companies.&#13;&#10;&#13;&#10;Important Information:&#13;&#10;Lab Requisition: After payment is received, you will receive a lab requisition form by the next business day.  This is your lab orders. Please print a copy of the lab requisition form and take it to any LabCorp location, anywhere, for your blood draw. You can also present it from your phone, but a printed copy is preferred.  You can go  as a walk-in client, as no appointment there is required.  &#13;&#10;&#13;&#10;Lab Result Timing: Lab results are usually available within 1 business day. If you do not receive a copy of your results within 2 days, please contact our clinic.&#13;&#10;&#13;&#10;No Medical Interpretation or Recommendations:&#13;&#10;A healthcare provider at this clinic will NOT review or interpret your lab results. No medical advice or recommendations will be provided based on these results.&#13;&#10;&#13;&#10;Follow-Up:&#13;&#10;It is your responsibility to consult with a primary care provider or a specialist for interpretation of your lab results and any necessary follow-up care.&#13;&#10;&#13;&#10;Confidentiality: Your lab results will only be shared with you at the e-mail address you provide.&#13;&#10;&#13;&#10;&#13;&#10;Acknowledgment and Consent:&#13;&#10;By signing this form, you acknowledge and agree to the following:&#13;&#10;&#13;&#10;- You understand the scope of the service provided by the clinic as written above.&#13;&#10;- You understand that Powerhouse Men's Clinic LLC will not provide medical advice or treatment based on the lab results.&#13;&#10;- You agree to consult with a primary care provider or appropriate healthcare professional for interpretation and guidance regarding your lab results.&#13;&#10;- No Refund Policy: Once this form is submitted, refunds are unavailable.&#13;&#10;- You release Powerhouse Men's Clinic LLC, its providers, and affiliates from any liability related to the lab results.&#13;&#10;

Signature: By signing here, I acknowledge I have read and understand the release form above in full.*

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DIY Lab Tests for Non-Clients