The Heavens Declare His Handiwork

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Thomas Lee Abshier, ND

Naturopathic Doctor
Bioidentical Hormone Therapy

Libido, Energy

Menopause, Osteoporosis

Weight, Diabetes


1414 NE 109th Ave.

Portland, Oregon

(503) 255-9500

(503) 255-1888 fax

drthomas@naturedox.com

Naturopathic Medicine
The Holistic Healing Paradigm

Orthomolecular/Functional Medicine – (Hormones, Nutrition, Herbs, Homeopathy)

With the Goal of Restoring the Body’s God Given Pattern of Health
Removing the Resistance to Cure w/ Proper Nutrition, Lifestyle, Relationships, & Body Mechanics

Using Lab Tests & Clinical Judgement to Diagnose Errors of Metabolism and Genetics

Patient Intake Form: #6


Laboratory Order:


Thomas Lee Abshier, ND

Phone: 503 255 9500,

Fax: 503 255 1888, 

Cell: 971-222-9596 

email: drthomas@naturedox.com


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




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


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


Cortisol, 4 samples over full day

DHEA (from average of samples)


GI Health Panels:


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



Steroid Panel: $250.00


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)




Urinary Neurotransmitter Test: $113.00


Epinephrine, Norepinephrine, Dopamine, Serotonin, GABA Phenylethylalanine


Urine Toxic Metal Assay: $58.00


plus challenge/chelating agent: Zeolite, EDTA, DMSA, DMPS)


Chronic Fatigue Assay: $1000.00 +/-


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


Urine Organic Assay: $250.00



Amino Acid Assay:



40 amino acids


Candida Antibodies and Antigen Complex: $70