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The House Of Wellbeing Screening Tests Herne Hill London

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First Name/ Last Name

Date of Birth

Email

Phone

Do you suffer from any medical conditions?

Are you currently on any medication?

Do you consent to us contacting your GP?

If yes, provide your GP's name

GP's address

Please tell us your main reasons for attending our clinic today *

Cholesterol Test

Glucose Test

Gluten Test (Coeliac Test)

Iron Test (For Tiredness)

Menopause Test

Prostate Test

Stomach Ulcer Test

Thyroid Test

Urine Test (For Infections)

Vitamin D Test

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