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Genova Diagnostics Order Form

Please complete the form below.  Thyroid UK will order the test kit and Genova Diagnostics will send this to you.  Follow their instructions on how to send your sample/s to them. 

To receive your results, please tick the box below to give consent for us to send them to you.  As soon as Thyroid UK receives your results, they will be sent to you via email with password protection.

 

Payment Plan

All tests or combination of tests and shipping equal or above £250 can be put on a 4 instalment plan. Genova will take the first payment once the samples are received by them and the rest in the next consecutive months.

Customer Details

Full Name
Date of Birth
Address (including postcode)
Sex

Test Selection

Hormonal Health Tests - Please Select:
Nutritional Status Tests - Please Select:
Gut Health Tests - Please Select:
Immune Function Tests - Please Select:
Speciality Tests - Please Select:

Order Summary

£0.00

Payment Options

Payment Options (for orders over £250 ONLY)

Additional Information

Consent

Access
We need your permission to access results on your behalf.
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  • Date created: 23.07.26 (V2.0)
  • Review date:  10.04.28

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