Please fill out the form below, whether you’re a doctor or a patient. Patients may self-refer.
Patient's Name*
Date of Birth*
Phone*
Email* .
Sex FemaleMaleOther / Prefer not to say
Pregnant* YesNo
Serum Ferritin < 100μg/L
Haemoglobin (may be normal in iron deficient patients)
Fe-Saturation (TSAT) < 20% is indicative of iron deficiency under inflammatory conditions
If you do not have a ferritin test result from the last 3 months, please contact our office to book a 15-minute pre-iron consult first.
Referring doctor
Please specify any medical conditions
Attach copy of labs (< 3mo old)