Supplemental forms to aid you in completing a Diagnos-Techs™ test kit. For additional questions, please call Client Services at 800-878-3787.
If you meet any of the criteria below, you must complete this temperature chart to determine the date to begin collecting for your Cycling Female Hormone panel.
Daily Temperature Chart (FHP & eFHP)
- You have infrequent or absence of periods.
- You are experiencing any menopausal symptoms (hot flashes, migraines, night sweats,
emotional fragility, etc.) and your periods are spaced four months apart or longer.
- You have had a hysterectomy (ovaries intact) and you are 55 years of age or younger.
If you are shipping your test kit to Diagnos-Techs from outside the US, fill out and include this form.
You do not need this form if you choose to purchase a UPS shipping label on Diagnos-Techs' website.
If you need to take the Carbohydrate Stimulation Test, you may download this form.
Carbohydrate Stimulation Test
If you need to fill out the Advance Beneficiary Notice of Noncoverage Form, you may download it here:
Flexi ABN Form
Saliva ABN Form
Stool ABN Form