STEP 1/4

INITIAL INFORMATION

Let’s begin with your basic contact information – make sure what you provide matches the details on your Driver’s License and/or other identity documents.

Please make sure to provide a valid contact number and email. This allows us to keep you informed with updates about your protocol.

YOUR DETAILS

First name:

Last name:

Phone number:

Email:

Date of birth: (as it appears on your Driver's License) / /

I'd like to receive future communications from Primal Zone including latests new, offers and promotions.

A HEALTHIER YOU STARTS HERE!

STEP 3/4

BLOOD TEST UPLOAD

Upload all pages of your most recent blood test results. Please ensure the results are within 3 months and include the following:

Free and Total Testosterone, SHBG
E2, FSH/LH, Prolactin, Progesterone
Dehydroepiandrosterone sulfate (DHEAS)
Insulin-like growth factor (IGF-1) + growth hormone (GH)
Iron Studies
Cortisol
Magnesium
Thyroid stimulating hormone (TSH) / Thyroid function tests (FT3 / FT4)
Liver Function (LFT)
Kidney Function (UEC)
Cholesterol/TG/HDL/LDL
Glucose
Full Blood Count (FBC)

No recent results? Consult your GP and request the above panel, or, order the Sports BB4 panel through iMedical.

UPLOAD YOUR TEST HERE

Drag & drop files or Browse

Upload File

Supported formates: JPEG, PNG & PDF

Uploaded

You're almost there.

Previous step

STEP 4/4

PROCESS YOUR PAYMENT

Please double-check your billing and shipping details below are correct prior to processing payment.

Billing Details

First name

Last name

Phone number

Address

Suburb

State/Territory

Postcode

SHIPPING ADDRESS

Please verify your shipping address. Incorrect delivery addresses result in packages being returned to sender and a delay in re-processing your order. Any associated redirect shipping costs will be the responsibility of the customer. Please note that we are unable to dispatch orders to PO Boxes.

Same As Billing

New Shipping Address

Address

Suburb

State/Territory

Postcode

Payment Details

Card number

CVV

Expiration Date

Transactions are securely processed through Stripe.

PAYMENT SUMMARY

Summary

Initial Consultation Fee	$350.00
GST	$35.00
Sub Total	$385.00
Payment Processing Fee*	$7.16
TOTAL	$392.16
*Merchant online payment fee

Ready to change your life?