Rupa Health

Please note that your requisition may look slightly different depending on the test you ordered. The information you need to fill out will be the same no matter how your requisition is formatted.

<b>If you receive an ABN form in your kit, please IGNORE and DISCARD it. Rupa Health does not work with insurance. </b>

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How Your Completed Requisition Should Look

Doctor's Data Sample Requisition

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Doctor's Data Sample Requisition

How to Fill Out Your Requisition

How Your Completed Requisition Should Look