Order Option A

Option A: Order testing through Your Healthcare Provider

	Complete an authorization form with your provider's information and Aeron will FAX him/her a requisition to authorize your testing.
	Indicate the hormones you wish to test by marking the appropriate box(es).
	Aeron will contact you by phone for payment with VISA, MasterCard, American Express, Discover, personal check or money order.
	Testing costs may be reimbursable and/or covered by Medicare, Blue Cross, Blue Shield or United Healthcare depending upon the diagnostic reason for testing (indicated by your provider) and the coverage of your particular health plan.
	If you wish to pay by check, use your web browser to print the online order form and mail it along with payment to: Aeron Lifecycles Laboratory 1933 Davis Street, Suite 310 San Leandro, CA 94577
	The saliva collection supplies will be mailed to you after authorization is received from your provider and the form of payment is verified.