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BECOME A PROVIDER


Please provide the information and ask for special price list.

PROVIDER INFORMATION

 

Practitioner Name:*
Practice Name:
Title
Practitioner E-mail Address:*
Practice Website:
Address:*
License Information:*
Are there any other healthcare provider in the Practice?
How did you hear about us?
On average, how many BHRT patients do you order testing for each month?
Comments:
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Why choose BDL Lab?

BDL is specialized saliva testing lab provide state-of-the-art emerging science to the growing number of physicians focusing on personalized medicine and wellness to an aging population.

BDL offers a pioneering approach to Saliva testing, providing the most accurate and reliable functional hormone testing, genetic mapping for weight management and fitness, prevention of oral cancer and periodontal.

Your personal information and medical results are strictly private and confidential. Information is not submitted for your medical record or provided to any third parties whatsoever without your prior written consent. Any information provided to BDL Lab will not be used for marketing purposes and sold for mailing lists or solicitation Privacy Policy. We may, however, contact you by mail to survey your satisfaction with BDL or to inform you of new products or promotions at BDL.