MZW Stress Panel

– example: “Wellness Panel I” is the discounted bundle with 5 functional tests

Stress Panel

$370.00

Complete Wellness Panel I

$1,000.00

Metabolic Panel III

$170.00

Lipoprotein(a)

$50.00

Have a coupon? Click here to enter your code

Billing details

Country / Region *

Patient First Name *

Patient Last Name *

Patient Birth Date (MM/DD/YYYY) *

Patient Email *

Patient Phone Number *

Do you have an ordering Practitioner? *YesNo

Patient Gender *MaleFemale

Practitioner Name (optional)

Practitioner Credentials (optional)

Practitioner Phone (optional)

Practitioner Fax (optional)

Street address *

First name *

Last name *

Company name (optional)

Email address *

Phone *

Apartment, suite, unit, etc. (optional)

Town / City *

State *

ZIP Code *

Referrals (optional)

Ship to a different address?

First name *

Last name *

Company name (optional)

Country / Region *

Street address *

Apartment, suite, unit, etc. (optional)

Town / City *

State *

ZIP Code *

Order notes (optional)

Your order

Product Quantity	Total
Cart Subtotal	$0.00
Order Total	$0.00

DHA Signature Care costs are applied on a per order basis, assessed at 10% of the total order cost, up to a maximum $15 value. Signature Care allows a licensed physician to authorize the laboratory test request for wellness purposes, and allows for full support of the order at every phase between ordering, shipping, and results reporting.

Credit Card

Credit card number *

Expiration date *

Card security code *

Pay with your MasterCard, Visa, Discover or American Express

Update TotalsUpdate totals