The Heavens Declare His Handiwork

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Thomas Lee Abshier, ND
—-
Naturopathic Physician

Christian Counselor

Political Philosopher

Theoretical Physicist
 

—
Marriage & Personal Counseling

Medical Consultations

—

1414 NE 109th Ave.

Portland, Oregon

(503) 255-9500
drthomas@naturedox.com

Patient Intake Form: #6

 

Laboratory Order:

 

Thomas Abshier, ND

Phone: 503 255 9500,

Fax: 503 255 1888, 

Pager: 503 599 4492, 

email: naturedox@qwest.net

 

This form can be copied into Word (edit, select all, copy, paste) and printed

Call the lab and get the lab name, address, phone, & fax number.

Call/fax/email me and tell me the lab's phone/fax number:

I will call/fax a confirmation to the lab to authorize the lab requisition.

Make sure that you bring any tests kits with you that may require a blood draw.

Make sure you have called DHL/Fed Ex/UPS for a pickup time if there is a draw for next day deliver at another lab.

Call Lab and make an appointment.

If there is any problem at the lab, call me at 503 255 9500, or page me at 503 599 4492

In general: fast after dinner, and go in for blood draw in the AM.

 

Note: the following tests indicated by "***" next to the test name, or the group, indicates a test/group that is typically ordered

 

Note: Test costs are those charged by the Portland Naturopathic Clinic (503 552 1551).  

These prices are given for comparison only, and are subject to change.

Call the lab of your choice to check prices before making an appointment.

Lab costs will probably not be covered by insurance.

 

Perform tests for -- Patient Name:

Date of Birth: 

ICD9: Diagnosis Code(s): Health Screen

 

Venipuncture/Blood draw: $15.00 (may be more for multiple draws)

Lab Handling Fee: $10.00 (dependent on number of tests, etc.) 

 

Chemistry Screen: $39.00 ***

 

Calcium

Sodium

Chloride

Potassium

CO2

BUN

Creatinine

Glucose

Anion Gap

 

Miscellaneous Tests:

 

Uric Acid $6.00 ***

Phosphorus $12.00 ***

Magnesium, RBC

ESR - Sedimentation Rate $ 12.00 ***

 

Liver panel: $39.00 ***

 

Alkaline Phosphatase

AST/SGOT

ALT/SGPT

GGT

LDH - Lactose Dehydrogenase

Total biliribin

Direct bilirubin if Total bilirubin = >1.3

Total protein

Globulin total

Albumin

 

Lipids: $39.00 ***

 

Total cholesterol

LDL

HDL

Triglycerides

 

Heart Risk Panel: $149.00 (Genova Diagnostics)

 

Cardio CRP (C Reactive Protein) $45

Homocysteine

Fibrinogen

Lipoprotein (a), Apolipoprotein A1, B, lipid panel

 

Anemia Panel: $48.00

 

Iron - serum

TIBC - Total Iron Binding Content

% Saturation

Ferritin

 

Blood Sugar Panel:

 

Hemoglobin A1C: $30.00

Insulin: $60.00

GITT (Glucose Insulin Tolerance test: 3 hour) $104.00

 

CBC Complete Blood Count: ***

 

Hand Differential: $15

 

(Automated % differential and Absolute numbers):$26

WBC - White Blood Cells, Lymphocytes, Monocytes, Eosinophils, Basophils, Neutrophils, Bands, RBC - Red Blood Cells, Hgb - Hemoglobin, Hct - Hematocrit, MCV - Mean Cell Volume, MCH, MCHC, Platelets, MPV - Mean Platelet volume

 

Thyroid Panel:

 

T4 total $35.00 ***

Free T4 $35.00

TSH $35.00

 

(NCNM Thyroid panel: TSH, Free T4, & Free T3) $75.00

 

Extended Thyroid Panel:

 

Free T3 $30.00

Reverse T3 $30.00

Anti Thyroglobulin $30.00

Anti Thyroid Peroxidase $30.00

 

(Genova Panel: All of regular & extended) $149.00

 

Male & Female Hormone Panel:

 

Estradiol $95.00

Progesterone $80.00

Free Testosterone $85.00

Total Testosterone $85.00

 

Adrenal Panel:

 

DHEA Sulfate (serum): $70.00

Cortisol AM (serum):

 

Lymphocyte subset panel: $340.00

 

(Red Labs, blood draw, kit to take to lab)

CD 3 All T cells, CD 4 Helper cells, CD 8 Suppressor cells, CD 19 B Cells, NK cells (CD 56/57)

 

Clotting Panel:

 

INR

Prothrombin Time

 

Adrenal stress Index: $99.00

 

(Diagnos-Tecs, saliva test, kit, self-send)

Cortisol, 4 samples over full day

DHEA (from average of samples)

 

GI Health Panels:

 

Diagnos-Tecs, saliva and stool, kit, self-send: $149.00

Bacteria, Fungi, Parasites, enzymes, Gluten, food antibodies, SIGA, inflammation

 

CDSA - Genova $199.00 (Comprehensive Digestive Stool Analysis)

 

Steroid Panel: $250.00

 

(Rhein Consulting Labs: 24 hour urine collection, self-send)

Full spectrum average of steroid hormones over 24 hour period.

Adrenal hormones (Cortisol and metabolites)

Sex Hormones and metabolites (Testosterone, Estrogen, Progesterone)

 

Food Allergy Panels:

 

MRT: $350.00 (blood draw, kit, 150 foods, WBC reactivity to food)

 

ALCAT: $320.00 (blood draw, kit, 150 foods, WBC rxn to food)

 

US BioTek: $185.00 (blood draw, 96 foods, Antibodies to food)

 

US BioTek: $135.00 (finger prick, kit, 96 foods, Antibodies to food)

 

Urinary Neurotransmitter Test: $113.00

 

Neuroscience, morning collection of urine

Epinephrine, Norepinephrine, Dopamine, Serotonin, GABA Phenylethylalanine

 

Urine Toxic Metal Assay: $58.00

 

Genova Labs; collection kit, 16 hour challenge;

plus challenge/chelating agent: Zeolite $40)

 

Chronic Fatigue Assay: $1000.00 +/-

 

(Red Labs Inc., Blood draw, kit to take to lab)

Assay of viruses and blood enzymes related to viral infection correlated to Chronic Fatigue Syndrome

 

Urine Organic Assay: $250.00

 

(US BioTech, kit, 24 hr urine collection, metabolites from cellular metabolism indicative of vitamins, minerals, toxins, fungus, amino acid levels)

 

Amino Acid Assay:

 

(US Biotek, kit, finger prick) $99.00

 

US Biotek, blood draw: $200

40 amino acids

 

Candida Antibodies and Antigen Complex: $70

 

(Antibody Assay Labs, blood draw)

 

 

Naturopathic Medicine - the Holistic Healing Paradigm

Including: Orthomolecular, Functional, Herbal & Homeopathic Medicine

Goal: Restoring the Body’s God Given Pattern of Health
Method: Removing the Resistance to Cure, and
Proper Nutrition, Lifestyle, Relationship, & Body Mechanics

Diagnosis: Lab & Clinical Indications of Errors of Metabolism, Lifestyle, and Genetics