Laboratory Testing
At the time of your Initial Phone Conversation with the
Wellness MD, the Doctor will decide what tests are necessary
for you to have performed. The Dr. Kryger will also
discuss with you the best way to have the testing done, including
ordering the tests and making the necessary arrangements.
You may request lab tests prior to phone consultation with
Dr. Kryger.
If Lab testing is required:
PLEASE print out and fill out completely the Laboratory
Request Form that appears below.
If you have had these tests performed previously
through ANY laboratory reporting system, PLEASE FAX us the
previous dates, tests, and values noted.

REQUEST FOR LABORATORY SERVICES
FROM :
MONTEREY PREVENTIVE MEDICAL CLINIC
1084 CASS STREET
MONTEREY, CA 93940
tel: (831) 373-4406 fax: (831) 373-4481
FOR :
Name: ____________________________________________________
Address: __________________________________________________
City, State, Zip Code: ________________________________________
Phone Number : (____)______________________
Birth Date :(____/____/____) SS
#______ -______ - _______
Your state driver's license number (used for identification) :_____________________________
e-mail :___________________________________________________
AT :
Name of Laboratory to perform work: ___________________________________
City, State, Zip Code :_________________________________________________
Phone Numbe r:(____)__________________________
Fax Number of Lab : (____)______________________
THE LABORATORY MUST CALL or FAX OUR OFFICE
NUMBER ABOVE TO SECURE A CONFIRMATION NUMBER PRIOR TO DRAWING
BLOOD OR ORDERING ANY TESTS.
BE SURE TO INCLUDE THE PHONE NUMBER, SS NUMBER
AND FAX FOR THE LABORATORY FACILITY.

Your saliva can be easily tested for accurate
levels of a number of circulating (free) hormones. The testing
can be done in the privacy of your own home, and the results
mailed to a lab for analysis. Your results will be interpreted
to you via a telephone consultation with Dr. Kryger. Contact
the Monterey Preventive Medical Clinic for details. Call
(831) 373-4406.
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