Fabrik – Wellness Screening Registration Form


***This form works best with Google Chrome***
First
Last
Do you use tobacco/nicotine products?
Do you have any of the following?
Screening includes:

CMP / CBC / Lipid Panel, Thyroid,
Cotinine (Non-tobacco or related only), Blood Pressure

Click here for lab test explanations

Please remember to fast for 8 hours. Black coffee, water, and plain tea are allowed.
***Once you click submit you will be redirected to schedule your appointment***

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