Order test kit Please enable JavaScript in your browser to complete this form.MELISA contactBarboraBrianJuliaLindaZuzanaName of Clinic/PractitionerI am not taking immune suppressant medication (3 weeks prior to blood draw) *AgreeMore informationI have read the shipping instructions and guide previously sent *AgreeMore informationTesting Panels (use Ctrl to select multiple options)UnsureA Amalgam fillingsB Non-noble crownsC Noble or gold crownsD Amalgam & crownsE Titanium implantsF Cobalt Chrome, Vitallium, Stainless steelG Titanium or Titanium alloyH OxiniumI Spinal implantsJ Pre-testing prior to surgeryLyme testingNameFirstLastEmail *TelephoneShipping and/or Billing AddressComment or MessageCommentSubmit