•  

    CPH Community Health Fair

    Pre-Registration Form

    Saturday, October 24, 2026 | 8:00a.m. - Noon


    For the most accurate results, please fast for 10hrs before your blood draw. Fasting means you should not eat or drink anything except water. It is important to stay well hydrated while fasting. Refreshments will be available after your lab work has been collected.

  • DOB*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Format: (000) 000-0000.

  • Labs (Collected 05/09/26)

    prevnext( X )
    Chemistry/Hematology Panel: CBC (85027) CMP (80053) Lipid (80061). CBC (Complete Blood Count) checks your red blood cells, white blood cells, and platelets. It can help identify conditions such as anemia, infection, or other blood disorders. CMP (Comprehensive Metabolic Panel) measures blood sugar, electrolytes, kidney function, and liver function to help evaluate how well your body’s organs are working. Lipid Panel measures cholesterol and triglycerides, which helps assess your risk for heart disease and stroke.
    Chemistry/Hematology Panel: CBC (85027) CMP (80053) Lipid (80061)

    CBC (Complete Blood Count) checks your red blood cells, white blood cells, and platelets. It can help identify conditions such as anemia, infection, or other blood disorders.

    CMP (Comprehensive Metabolic Panel) measures blood sugar, electrolytes, kidney function, and liver function to help evaluate how well your body’s organs are working.

    Lipid Panel measures cholesterol and triglycerides, which helps assess your risk for heart disease and stroke.


    $40.00$40.00
      
    Thyroid Stimulating Hormone: TSH (84443). This test checks how well your thyroid gland is working. The thyroid controls metabolism, energy levels, and body temperature. Abnormal results may indicate an underactive or overactive thyroid.
    Thyroid Stimulating Hormone: TSH (84443)

    This test checks how well your thyroid gland is working. The thyroid controls metabolism, energy levels, and body temperature. Abnormal results may indicate an underactive or overactive thyroid.

    $30.00$30.00
      
    Vitamin D 25-Hydroxy: Vit D (82306). This test measures the amount of vitamin D in your blood. Vitamin D is important for bone health, immune function, and muscle strength. Low levels are common and may lead to bone weakness or fatigue.
    Vitamin D 25-Hydroxy: Vit D (82306)

    This test measures the amount of vitamin D in your blood. Vitamin D is important for bone health, immune function, and muscle strength. Low levels are common and may lead to bone weakness or fatigue.

    $35.00$35.00
      
    Hemoglobin A1C: HbA1C( 83036). This test measures your average blood sugar level over the past 2–3 months. It is commonly used to screen for diabetes or prediabetes and to monitor blood sugar control in people with diabetes.
    Hemoglobin A1C: HbA1C( 83036)

    This test measures your average blood sugar level over the past 2–3 months. It is commonly used to screen for diabetes or prediabetes and to monitor blood sugar control in people with diabetes.

    $35.00$35.00
      
    Prostate Specific Antigen: PSA (84153). MALES ONLY Measures protein levels in the blood to screen for prostate cancer, monitor treatment, or detect potential prostate issues in men.
    Prostate Specific Antigen: PSA (84153)

    MALES ONLY Measures protein levels in the blood to screen for prostate cancer, monitor treatment, or detect potential prostate issues in men.

    $35.00$35.00
      
    Total
    $0.00$0.00

  • *You must be 18 years or older to have blood work done. Continue taking medications as prescribed. Payment will be made at the health fair via check, cash, or card. Insurance will not be taken at the Health Fair, but you will be able to submit receipts to insurance for reimbursement.

    Remember to Fast! (Nothing to eat or drink 10 - 12 hours prior to labs, water is okay and encouraged!)

  • Should be Empty: