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Advisor's Details
Advisor Name
Company Name
Email
Phone Number
Client Details
Client
Client Contact Number
Client Email
Client DOB
Insurance Company
Insurance Company Application ID
Client Gender
Client Gender
Male
Female
Appointment Location
Street Address
Suburb, State & Postcode
Appointment Time
Preferred date
Preferred time
Alternative date
Alternative time
Common Tests
Common Test Types
Quick Check
Fasting MBA20 (inc HDL/LDL/Chol)
NON-Fasting MBA20 (inc HbA1c,HDL/LDL/Chol)
NON-Fasting MBA20 (inc HDL/LDL/Chol)
Urine Micro & Culture (MSU)
Hep B (antigens) Hep C (antibodies)
H.I.V
HbA1c - (Glycosylated haemoglobin)
Paramedical (by Nurse or Doctor)
GP by own doctor
GP Insurance Assessment
Main Blood Tests
Main Blood Test Types
Full blood exam/Full blood count (FBE/FBC)
ESR
Serum Iron Studies
Thyroid Function
Fasting Blood Glucose Test
Lipids Profile
Other Blood Tests
Other Blood Test Types
PSA
Cotinine
Liver Function Test
Hepatitis C PCR
CDT - Carbohydrate Deficient Transferrin
Creatinine Clearance Blood test
C Reactive Protein
PSA Free (including Free to Total Ratio)
Hepatitis B e Antigen
Testosterone Blood test
Urine Tests
Urine Test Types
Urine Micro & Culture (MSU)
Urine drug screen and report
Urine Micro & Culture (MSU) with red cell morphology
24 Hour Urinary Protein
Creatinine Clearance Urine test
Albumin / Creatinine Ratio urine test
Glucose Tolerance
Other Specific Tests
Other Specific Test Types
Spirometry (Lung Function Test)
Specialist Insurance Assessment
Resting ECG
Blood Pressure X 3 (5 min intervals)
Stress Echo cardiogram
Exercise Stress Test
Other Tests
Other Tests
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