Retest Information

If you are unable to submit the form electronically, you can print it out: Page 1 Page 2 Page 3 Page 4 Page 5 

Fill in your information, scan, and email back to us at HairAnalysis@GoHealthyNext.com. You may also fax it to us without a cover sheet to (866) 370-7199.  We do not accept printed and mailed copies of the forms.