Review order Prescription

1

Selected tests

Test name

Test code

$29

Remove

0

Subtotal

$95

Sample Collection Fee

$29

Total

$95

Back to Lilium Prescription tests

2

Select location

Montreal clinic

1500 Atwater Ave, Montreal,
QC H3Z 1X5

Monday - Saturday
7:00 - 11:30
12:30 - 17:00

Laval clinic

275 Boulevard Armand-Frappier,
Laval, QC H7V 4A7

Monday - Saturday
7:00 - 13:00

3

Please answer the following questions

Do you have any symptoms?

Yes

No

Do you have a prescription for the tests?

Yes

No

You need a prescription if you have symptoms!

Are you pregnant or breastfeeding?

Yes

No

Do you have a prescription for the tests?

Yes

No

You need a prescription if you are pregnant or breastfeeding!

Date of Birth

Day

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Month

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Year

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We can provide tests ONLY from the age of 14.

First Name

First & Middle Name(s)

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Last Name

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