Self Request Form

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

• 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.