• Lab Testing Order Form

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    General Wellness Lab Packages
    Immunization Titer Packages
    Tuberculosis Screening (QuantiFERON)
    STI Testing Packages
    Hormone Panel Packages (Male & Female)
    Individual Labs
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                                              General Wellness Lab Packages
                                              Core Wellness Check Product Image
                                              Core Wellness Check

                                              A broad look at your current health status—great for an annual visit.

                                              $99.00
                                                
                                              Heart Health & Diabetes Check Product Image
                                              Heart Health & Diabetes Check

                                              Focuses on risk factors for heart disease and diabetes. Recommended for patients monitoring cholesterol, inflammation, and blood sugar.

                                              $79.00
                                                
                                              Men's Basic Health & Wellness Product Image
                                              Men's Basic Health & Wellness

                                              Designed for adult men to monitor key health areas like prostate health, cardiovascular risk, and overall function.

                                              $79.00
                                                
                                              Women's Basic Health & Wellness Product Image
                                              Women's Basic Health & Wellness

                                              Routine lab screen tailored for women’s energy, hormone-related health, and nutritional balance.

                                              $79.00
                                                
                                              Thyroid & Enegy Check Product Image
                                              Thyroid & Enegy Check

                                              When fatigue, weight change, or mood swings raise questions.

                                              $69.00

                                              Item subtotal:$0.00
                                                
                                              Heavy Metal Exposure Check Product Image
                                              Heavy Metal Exposure Check

                                              Recommended for industrial workers and hobbyists who handle metals.

                                              $149.00

                                              Item subtotal:$0.00
                                                
                                              OSHA Cadmium Levels Check Product Image
                                              OSHA Cadmium Levels Check

                                              Meets federal cadmium monitoring rules.

                                              $69.00

                                              Item subtotal:$0.00
                                                
                                              Liver Health Check Product Image
                                              Liver Health Check

                                              Useful for medication users, alcohol intake, or known liver concerns.

                                              $59.00

                                              Item subtotal:$0.00
                                                
                                              Inflammation Marker Panel Product Image
                                              Inflammation Marker Panel

                                              Looks for silent inflammation that fuels long-term illness.

                                              $79.00

                                              Item subtotal:$0.00
                                                
                                              Basic Male Hormone Check Product Image
                                              Basic Male Hormone Check

                                              Take charge of your health with our comprehensive Male Hormone Health Package. This panel is specially designed for men who want a complete picture of their overall wellness and hormone balance. This package is ideal for men experiencing symptoms such as fatigue, low libido, mood changes, or those simply wanting a proactive approach to their health. Get clear answers and personalized insights with one convenient blood draw.

                                              $129.00

                                              Item subtotal:$0.00
                                                
                                              Basic Female Hormone Check  Product Image
                                              Basic Female Hormone Check

                                              Get a complete overview of your hormonal and overall health with our Female Hormone Check. This panel checks key hormones—including estrogen, progesterone, FSH, LH, testosterone, and thyroid function—along with a Complete Blood Count (CBC) and Comprehensive Metabolic Panel (CMP). Ideal for women experiencing menstrual changes, fertility concerns, or symptoms of hormonal imbalance. One simple blood draw, comprehensive answers.

                                              $129.00

                                              Item subtotal:$0.00
                                                
                                              Immunization Titer Packages
                                              Level 1 Immunization Titer Package Product Image
                                              Level 1 Immunization Titer Package

                                              This package is for a single blood draw to show immunity for: Mumps-Measles-Rubella (MMR) Varicella (Chickenpox) Hepatitis-B

                                              $69.00

                                              Item subtotal:$0.00
                                                
                                              Level 2 Immunization Titer Package (with TB) Product Image
                                              Level 2 Immunization Titer Package (with TB)

                                              This package is for a single blood draw to show immunity for:  Mumps-Measles-Rubella (MMR)  Varicella (Chickenpox) Hepatitis-B & Tuberculosis (TB) screening - QuantiFERON Gold

                                              $129.00
                                                
                                              Level 3 Immunization Titer Package (with TB) Product Image
                                              Level 3 Immunization Titer Package (with TB)

                                              This package is for a single blood draw to show immunity for:  Mumps-Measles-Rubella (MMR)  Varicella (Chickenpox)  Hepatitis-B Tdap & Tuberculosis (TB) screen using QuantiFERON Gold testing

                                              $199.00
                                                
                                              MMRV Titer - Only

                                              This is for a single blood draw to show immunity for Mumps-Measles-Rubella (MMR) and Varicella (Chickenpox)

                                              $59.00
                                                
                                              Hepaitis B Titer- Only

                                              This is for a single blood draw to show immunity for Hepatitis-B (HBV / Hep-B)

                                              $39.00
                                                
                                              Tuberculosis (TB) Screening - QuantiFERON Gold

                                              This is for a single blood draw for a Tuberculosis (TB) screening. This method uses QuantiFERON Gold testing (1 test - 1 visit - most accurate TB testing available)

                                              $99.00

                                              Item subtotal:$0.00
                                                
                                              Tdap Titer - Only

                                              This is for a single blood draw to show immunity for Tdap (Tetanus - Diptheria - Pertussis)

                                              $129.00

                                              Item subtotal:$0.00
                                                
                                              Tuberculosis Screening (QuantiFERON)
                                              Tuberculosis (TB) Screening - QuantiFERON Gold

                                              This is for a single blood draw for a Tuberculosis (TB) screening. This method uses QuantiFERON Gold testing (1 test - 1 visit - most accurate TB testing available)

                                              $99.00

                                              Item subtotal:$0.00
                                                
                                              STI Testing Packages
                                              Expanded STI Screening Product Image
                                              Expanded STI Screening

                                              This screening includes: Chlamydia, Gonorrhea, Hepatitis A-B-C, HSV, Syphilis, and HIV

                                              $139.00

                                              Item subtotal:$0.00
                                                
                                              HIV 1 & 2 Screening

                                              HIV 1/2 Screening is a confidential blood test that detects both HIV type 1 and type 2 infections. Early detection is key to effective treatment and protecting your health. This test is recommended for anyone who wants to know their HIV status for peace of mind or as part of routine health care.

                                              $49.00

                                              Item subtotal:$0.00
                                                
                                              Hormone Panel Packages (Male & Female)
                                              Basic Male Hormone Check Product Image
                                              Basic Male Hormone Check

                                              Take charge of your health with our comprehensive Male Hormone Health Package. This panel is specially designed for men who want a complete picture of their overall wellness and hormone balance. This package is ideal for men experiencing symptoms such as fatigue, low libido, mood changes, or those simply wanting a proactive approach to their health. Get clear answers and personalized insights with one convenient blood draw.

                                              $129.00

                                              Item subtotal:$0.00
                                                
                                              Basic Female Hormone Check  Product Image
                                              Basic Female Hormone Check

                                              Get a complete overview of your hormonal and overall health with our Female Hormone Check. This panel checks key hormones—including estrogen, progesterone, FSH, LH, testosterone, and thyroid function—along with a Complete Blood Count (CBC) and Comprehensive Metabolic Panel (CMP). Ideal for women experiencing menstrual changes, fertility concerns, or symptoms of hormonal imbalance. One simple blood draw, comprehensive answers.

                                              $129.00

                                              Item subtotal:$0.00
                                                
                                              Individual Labs
                                              MMRV Titer - Only

                                              This is for a single blood draw to show immunity for Mumps-Measles-Rubella (MMR) and Varicella (Chickenpox)

                                              $59.00
                                                
                                              Hepaitis B Titer- Only

                                              This is for a single blood draw to show immunity for Hepatitis-B (HBV / Hep-B)

                                              $39.00
                                                
                                              Tdap Titer - Only

                                              This is for a single blood draw to show immunity for Tdap (Tetanus - Diptheria - Pertussis)

                                              $129.00

                                              Item subtotal:$0.00
                                                
                                              Lipid profile

                                              Our Lipid Profile measures your cholesterol and triglyceride levels to assess your risk for heart disease and support your cardiovascular health. This simple blood test provides important information about your total cholesterol, HDL (“good” cholesterol), LDL (“bad” cholesterol), and triglycerides. Ideal for routine health checks or monitoring your heart health. *Fasting Recommended*

                                              $29.00

                                              Item subtotal:$0.00
                                                
                                              Complpete Blood Count (CBC) w/ differential

                                              This test provides a detailed analysis of your blood, measuring red and white blood cells, hemoglobin, platelets, and the different types of white blood cells. This test helps detect infections, anemia, immune system disorders, and other health conditions. It’s a simple blood test that offers valuable insights into your overall health.

                                              $29.00

                                              Item subtotal:$0.00
                                                
                                              Basic Matabolic Panel (BMP)

                                              The Basic Metabolic Panel (BMP) is a simple blood test that checks your body’s chemical balance and metabolism. It measures important markers like blood sugar, calcium, and electrolytes, as well as kidney function. This test helps monitor your overall health and can detect issues such as dehydration, kidney problems, or metabolic imbalances.

                                              $29.00

                                              Item subtotal:$0.00
                                                
                                              Comprehensive Metabolic Panel (CMP)

                                              The Comprehensive Metabolic Panel (CMP) is a blood test that provides a broad overview of your overall health. It measures blood sugar, electrolytes, kidney and liver function, and more. This test helps detect conditions such as diabetes, liver disease, and kidney problems, making it an important part of routine health screening.

                                              $29.00

                                              Item subtotal:$0.00
                                                
                                              HIV 1 & 2 Screening

                                              HIV 1/2 Screening is a confidential blood test that detects both HIV type 1 and type 2 infections. Early detection is key to effective treatment and protecting your health. This test is recommended for anyone who wants to know their HIV status for peace of mind or as part of routine health care.

                                              $49.00

                                              Item subtotal:$0.00
                                                
                                              Vitamin D-25 Hydroxy

                                              Vitamin D-25 Hydroxy test measures the level of vitamin D in your blood, which is essential for healthy bones, immune function, and overall well-being. This simple blood test helps identify vitamin D deficiency or excess, guiding you and your healthcare provider in maintaining optimal health.

                                              $49.00

                                              Item subtotal:$0.00
                                                
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                                            • NOTICE
                                              This form is for ordering laboratory testing only. It does not replace medical evaluation, diagnosis, or treatment. The results should be reviewed with your primary care provider or specialist. Ordering these labs does not create a patient-provider relationship with Elite Health Solutions or any associated clinicians.

                                              If you are experiencing symptoms or need medical advice, please consult a licensed healthcare provider directly.

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