Download - FOLD FOR INSIDE FLAP BACK COVER FRONT COVER Can’t Afford Your … · 2016-03-25 · These prices are much less than you would pay at most labs. And you know the cost upfront before

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Page 1: FOLD FOR INSIDE FLAP BACK COVER FRONT COVER Can’t Afford Your … · 2016-03-25 · These prices are much less than you would pay at most labs. And you know the cost upfront before

Can’t Afford Your Lab Tests? Can’t afford

your lab tests?

FRONT COVER

• P.A.L.S.,workingwithanationallaboratory,nowcanhelp.

• Weofferover85commonlyorderedbloodtests.

• Mostcost$5each,withsomecosting$10,$15ormore.

• Thisofferisavailableinallstates(exceptHawaii).

• Alltestingisconfidential.

• Bothyouandyourdoctorreceiveacopyoftheresults.

Here’s a sample of the $5 tests available through this program:

BACK COVER

Tests Offered

FOLD FOR INSIDE FLAP

Help is here!

A Service of The Own Your Health Partnership

and NeedyMeds

Patient Assistance for Lab Services

TRIGLYCERIDESVLDLGGTALBUMINALKALINE PHOSPHATASEALTASTBILIRUBINCALCIUMCARBON DIOXIDECHLORIDECHOLESTEROL, TOTALCREATININEGLUCOSE, SERUMHDL-CHOLESTEROLPHOSPHATE (AS PHOS)POTASSIUMSODIUMUREA NITROGEN (BUN)BILIRUBIN, FRAC.BUN/CREAT RATIOPROTEIN, TOT & ALBPROTEIN, TOT AND ALB

ELECTROLYTE PANEL HEPATIC FUNC PNL W/O TPBASIC METAB PNL W/O CAHEPATIC FUNC PNLBASIC METAB PNLRENAL FUNC PNLTSH (REFL)HEMOGLOBIN A1CCOMP METAB PNLTSHTSH, PREGNANCYHEMATOCRITHEMOGLOBIN (B)PLATELET COUNTRED BLOOD CELL COUNTWBCHGB & HCTWBC & DIFFHGB INDICESCBC (H/H, RBC, WBC, PLT)HEMOGRAM & DIFFCBC (DIFF/PLT)PRO TIME WITH INR

Call our toll-free helpline at 844-770-PALS (7257)

or go to PALS-LABS.org

and click on FAQs

Page 2: FOLD FOR INSIDE FLAP BACK COVER FRONT COVER Can’t Afford Your … · 2016-03-25 · These prices are much less than you would pay at most labs. And you know the cost upfront before

What  our  customers  say:  

What Are the Costs?

Questions?

What’s Next?

Here’s what happens:

• Theorderformiscompletedandyousenditwithpayment.

• Withintwoweeksyoureceiveaboxwithinformationonwheretogotohaveyourbloodcollected.Bringtheboxandallitscontents.

• Oncethespecimensaresentyouwillreceiveyourresultswithintwoweeks.

• Acopyofyourresultsissenttoyourproviderifs/herequeststhem.

Call our toll-free helpline at 844-770-PALS (7257)

or go to PALS-LABS.org

and click on FAQs

The process is simple:

1. GotoPALS-LABS.organddownloadtheorderform.

2. Completebox1(PatientInformation)andbox2.PaymentInformation)ontheorderform.Remembertosigntheforminbox2.

3. Printtheorderformandlistofavailabletests.

4. Haveyourprovidercompletebox3(ProviderOrder).Theprovidermustsigntheform.

5. Ifpayingbycreditcardhavetheproviderfaxtheformtotheaddressinbox4.Otherwise,mailtheformandchecktotheaddressinbox.

How It Works

Wekeptthecostofthetestssimple.Mostare$5each,someare$10,$15or$20each.Thereareafewthataremoreexpensive.

Thesepricesaremuchlessthanyouwouldpayatmostlabs.Andyouknowthecostupfrontbeforethetestsare.

Thereisaone-time$15feeforshippingandprocessing.Thisfeeisthesamenomatterhowmanytestsyouorder.

PALS is not able to provide medical advice. Contact your medical provider for any questions related to your test results.