Language
English (US)
Spanish (Latin America)
Free and Reduced Cost Blood Work
April 18, 2026
Name
*
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth (mm/dd/yyyy)
*
Gender
Please Select
Male
Female
Blood Draw Type (payment accepted at event - cash or check only - make check payable to Schneck Medical Center)
*
Comprehensive Metabolic Profile with A1c, Cholesterol, Glucose - $45
Thyroid Stimulating Hormone (TSH) - $30
Prostate Specific Antigen (PSA) - $30
Glucose/Cholesterol only - Free (This option should NOT be chosen if you are getting the Comprehensive Metabolic Panel. These tests are include in the Panel)
To be determined
Appointment Availability
*
Please verify that you are human
*
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