DGI Supply – Wellness Screening Registration Form

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NOTE: Your insurance status will be validated before the screening...

Tests Requested

Please check each additional test below you would like to add to your basic screening
Note: Basic screening includes: CMP, CBC, & Lipid Panel
Note: Additional lab tests may also be added or changed, the day of your screening

All screenings include, height, weight, blood pressure, and body composition analysis

Click here for lab test explanations

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$
After payment, please click 'Return to Community Health Works' to schedule an appointment

Please remember to fast for 8 hours. Black coffee, water, and plain tea are allowed.

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