Self Request Form

• Required for this test
• Prior to your test, fast for 8 hours or more, no food or drink other than water.

• Required for this test
• Prior to your test, fast for 8 hours or more, no food or drink other than water.

(includes Testosterone)

• Required for this test
• Prior to your test, fast for 8 hours or more, no food or drink other than water.

• Required for this test
• Please indicate if on a gluten free diet.

To learn more about this test read this article https://scg.healthscope.co.nz/#!/AUK/details/ZNNF

• Required for this test
• Please provide any clinical information and history of overseas travel.

• Required for this test
• Antifungal or other ointments should NOT be applied for 3 days prior to sampling. Please state location on body, and any clinical information.

Available at Henderson, KeriKeri, Mairangi Bay, Manurewa, Mt Eden, Mt Wellington, Waiuku, Warkworth and Whangarei (Rust Ave) collection sites.