DOCTOR'S CHOICE REGISTRATION AND SPECIAL CO-OP PRICING FOR NUTRI-WEST DOCTORS

Phone: 888.852.2723
Fax: 888.952.2723
info@doctorschoice.net
www.doctorschoice.net
FIRST TIME REGISTRATION FOR NUTRI-WEST DOCTORS $200 (Non Nutri-West Doctors $300) AND ONLY $50 PER YEAR THEREAFTER. 70-80% SAVINGS ON ALL TESTING
**PLEASE LIST THAT YOU ARE A NUTRI-WEST DOCTOR ON YOUR REGISTRATION FORM. YOU MUST HAVE A LICENSE TO ORDER BLOOD WORK.
REGISTRATION FORMS
(FAX ALL COMPLETED & SIGNED FORMS TO DOCTOR'S CHOICE AT 888-952-2723 WITH A COPY OF YOUR CURRENT LICENSE)
1. TERMS OF SERVICE FORM
2. QUEST LABORATORY SERVICE AGREEMENT
3. MEDICAL PRIVACY FORM
SPECIAL CO-OP PRICING
DOCTOR’S CHOICE PANEL !
Ordering Code: CP313145 FASTING
ABO w/ Rh (7788) 3 SST, 2 LAVENDER & 1 URINE TUBE
• Bilirubin, Direct (285)
• CBC, 5-part differential and platelet count (6399)
• CMP-14 (10231)*
• CRP, High Sensitivity (10124)
• Ferritin (457)
• GGT (482)
• Hemoglobin A1c (496)
• Homocysteine (31789)+
• Iron/TIBC (7573)
• LDH (593)
• Leptin (37109)+
• Lipid Panel (7600)
• Magnesium, Serum (622)
• Phosphorus (718)
• Sedimentation Rate (809)
• Thyroid Profile with TSH (861, 867, 899)
• Uric Acid (905)
• Urinalysis (7909)
• Vitamin D (17306)+
DOCTOR’S WELLNESS PANEL
Ordering Code: CP313146 FASTING
2 SST, 2 LAVENDER & 1 URINE TUBE
• Bilirubin, Direct (285)+
• CBC, 5-part differential and platelet count (6399)
• CMP-14 (10231)*
• CRP, High Sensitivity (10124)+
• Ferritin (457)
• GGT (482)
• Hemoglobin A1c (496)
• Iron/TIBC (7573)
• LDH (593)
• Lipid Panel (7600)
• Magnesium, Serum (622)
• Phosphorus (718)
• Sedimentation Rate (809)
• Thyroid Profile with TSH (861, 867, 899)
• Uric Acid (905)
• Urinalysis (7909)
WEATHERBY COMPREHENSIVE FEMALE PANEL
Ordering Code: CP313498
2 LAVENDER, 2 SST, 1 RED, 1 LIGHT BLUE
• Bilirubin, Directs (285)
• CBC w/ 5-part differential + platelets (6399) (SODIUM CITRATE)
• CMP-14 (10231)*
• CRP (4420)
• DHEA Sulfate (402)
• Estradiol (4021)
• Ferritin (457)
• Fibrinogen (461)
• GGT (482)
• Hemoglobin A1c (496)
• Homocysteine (31789)
• Iron + TIBC (7573)
• LDH (593)
• Lipid Panel (7600)
• Phosphorus (718)
• Progesterone (745)
• Sedimentation Rate (809)
• T3, Total (859)
• T4, Total (867)
• Testosterone (15983)
• TSH (899)
• Uric Acid (905)
WEATHERBY COMPREHENSIVE MALE PANEL
Ordering Code: CP313499
2 LAVENDER, 2 SST, 1 RED, 1 LIGHT BLUE
• Bilirubin, Directs (285)
• CBC w/ 5-part differential + platelets (6399) (SODIUM CITRATE)
• CMP-14 (10231)*
• CRP (4420)
• DHEA Sulfate (402)
• Estradiol (4021)
• Ferritin (457)
• Fibrinogen (461)
• GGT (482)
• Hemoglobin A1c (496)
• Homocysteine (31789)
• Iron + TIBC (7573)
• LDH (593)
• Lipid Panel (7600)
• Phosphorus (718)
• PSA (5363)
• Sedimentation Rate (809)
• T3, Total (859)
• T4, Total (867)
• Testosterone (15983)
• TSH (899)
• Uric Acid (905)

