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Inquiry / Application for Health Check 健康測試登記 / 查詢
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請填寫以下個人資料
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Email
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Please check the box of the tests interested 請選擇健康測試種類 :
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DNA Health and Wellness Genetic Test 基因解碼測試 HK$6,800
Body Check 身體檢查計劃 (60+ items) HK$3,800
IgG Food Sensitivity Test 延遲性食物敏感測試 (220+ items) [WGF] <2ml EDTA> $4,800
IgE Pro Allergy Test 即時性食物敏感測試 (40+ items) [AEP] <4-6ml Clotted blood> $3,800
All of the Above Package 以上皆是套裝 HK$18,240
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Name (English) 英文姓名
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Name (Chinese) 中文姓名
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Contact Number 聯絡電話
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聲明 Declarations
本人聲明本申請表之所載資料， 依本人所知，均屬完整及正確。
I declare that all information given in this application form is, to my best knowledge, accurate and complete.
Send me a copy of my responses.
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