Practitioner Forms • Test Menu • Requisitions & Interpretive Guides

Clinical Resources, Forms & Requisitions

Access Meridian Valley Lab’s fillable practitioner onboarding forms, diagnostic test requisitions, complete PDF Test Menu, and clinical interpretation guides for PRISM24™, PACE24™, FoodSafe™ IgG4, and Whole Blood Viscosity.

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Common Practitioner Forms

Account Registration, Billing & Test Requisitions

Submit completed practitioner forms via email to info@MeridianValleyLab.com or fax to 206.209.4211. Include your Doctor Number on all requisitions and account updates.

Form / Document Title Document Type Clinical / Administrative Purpose Action

New Account Registration Form Fillable PDF Form Open a new practitioner account & obtain your MVL Doctor Number Request / Submit →

Credit Card Authorization Form Fillable PDF Form Establish clinic credit card billing for practitioner-billed orders Request / Submit →

Account Update Form Fillable PDF Form Update clinic address, phone, fax, email, or associate practitioners Request / Submit →

Meridian Valley Lab Test Menu (PDF) Complete Test Directory Full list of Hormone, FoodSafe™ IgG4, Allergy, Cardiovascular & Sendout tests Browse Test Menu →

PRISM24™ & PACE24™ Hormone Requisition Clinical Requisition 24-hour liquid urine, 4-point dried urine & Testosterone Metabolites Panel Details →

FoodSafe™ IgG4, Serum Allergy & Candida Requisition Clinical Requisition Basic 95, Extended 95, Comprehensive 190/222, Candida & 27-Inhalant IgE Panel Details →

Complete Blood Viscosity & Kraft Prediabetes Requisition Clinical Requisition Whole Blood Viscosity + CBC/Chem, Kraft Prediabetes & Dr. Wright Panels Panel Details →

Clinical Interpretation Support

Interpretive Guides & Complimentary Consultations

Every test ordered includes no-cost access to our experienced Consulting Physicians to review complex steroid pathways, food rotation strategies, or blood viscosity interventions.

Endocrinology Guide

PRISM24™ & PACE24™ Pathway Guide

Clinical reference covering 5α/5β-reductase balance, 2-OH/4-OH/16α-OH estrogen hydroxylation, COMT methylation ratios, and 11β-HSD cortisone/cortisol interconversion.

View Hormone Pathways →

Immunology Guide

FoodSafe™ IgG4 & 4-Day Rotation Diet

Patient-friendly elimination and 4-day rotation diet charts paired with Candida albicans intestinal barrier restoration protocols.

View FoodSafe™ Details →

Cardiometabolic Guide

Blood Viscosity & Kraft Insulin Patterns

Clinical reference for interpreting systolic vs. diastolic whole blood viscosity and Kraft Prediabetes insulin response curves (Patterns I–V).

View Cardiovascular & Kraft →