Biometric Screening Inquiry Form

Comprehensive Panel
- - Lipid Panel (Total Cholesterol, HDL-Cholesterol, LDL Cholesterol,Cholesterol/HDL ratio, Triglycerides)
- - Cardio CRP®
- - Glucose
- - Hgb A1c
- - Liver Panel (Alk Phos, Total Bilirubin, Direct Bilirubin, GGT, AST, ALT, Total Protein, Albumin, Globulin)
- - Creatinine/eGFR
- - Calcium
- - Uric Acid
- - TSH w/ reflex to Free T4
- - Iron
- - Iron Binding
- - Ferritin
Personal Health Snapshot
- - Lipid Panel (Total Cholesterol, HDL-Cholesterol, LDL Cholesterol,Cholesterol/HDL ratio, Triglycerides)
- - Glucose
- - Hgb A1c
- - Liver Panel (Alk Phos, Total Bilirubin, Direct Bilirubin, GGT, AST, ALT, Total Protein, Albumin, Globulin)
- - Creatinine/eGFR
Heart and Diabetes Panel
- - Lipid Panel (Total Cholesterol, HDL-Cholesterol, LDL Cholesterol,Cholesterol/HDL ratio, Triglycerides)
- - Glucose
Non-Fasting Panel
- - Direct LDL Cholesterol
- - Total Cholesterol
- - Cholesterol/HDL ratio (calculated)
- - HDL Cholesterol
- - Hemoglobin A1c
Fingerstick Panel options
- - Lipid Panel (Total Cholesterol, HDL-Cholesterol, LDL Cholesterol,Cholesterol/HDL ratio, Triglycerides)
- - Glucose

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