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Provide a pre-paid FedEx return envelope, complete the attached test requisition form with required patient and practitioner information, and include the sample collection date and time. Follow dietary restrictions for 24 hours (avoid apples, grapes, raisins, cranberries) and avoid nutrient supplements, vitamins, minerals, and amino acids for the same period. Submit the completed requisition, urine collection per kit instructions, and ship with all documents included; receive results within 2–3 weeks via Dr. Justin.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/great-plains-lab-organic-acid-test-instructions-complete-lab-test-requisition-form/292738/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/great-plains-lab-organic-acid-test-instructions-complete-lab-test-requisition-form/292738.png","ImageObject",300,407,{"name":92,"@type":93},"Rizky","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-17",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What items should be included with the Organic Acid test kit?","Question",{"text":113,"@type":114},"The kit provides a pre-paid FedEx envelope to return the lab test, instructions for conducting the test, and a sample collection container.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What must be included on the requisition form for the Organic Acid test?",{"text":118,"@type":114},"The requisition form must be filled out with required information, including the date and time the sample was taken. The blank form that came with the kit should be discarded and replaced with the completed version.",{"name":120,"@type":111,"acceptedAnswer":121},"What dietary and supplement restrictions apply before the test?",{"text":122,"@type":114},"Avoid apples, grapes, raisins, and cranberries for 24 hours before the test, and avoid nutrient supplements consisting of vitamins, minerals, and amino acids for 24 hours before the test (hormone or hormone precursor support such as Pregnenalone and DHEA is stated as acceptable).","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},292738,1789654727,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":105},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Great Plains Lab Test Instructions for the Organic Acid test  \nWhat you should receive:  \n1. Pre-paid FedEx envelope to send the lab test back. Please take note of the shipping/tracking number if you would like to track the package.  \n2. Instructions on how to conduct the test.  \n3. Sample collection container.  \nWhat you need to do to complete the Organic Acid test:  \n1. Please fill out the attached requisition form with all the required information.  \n2. You MUST include the date and time the sample was taken.  \n3. Please discard the blank requisition form that came with the kit. Replace with the completed requisition form in the current document.  \n4. Avoid apples, grapes, raisins, and cranberries for 24 hours before the test.  \n5. Avoid all nutrient supplements consisting of vitamins, minerals and amino acids 24 hours before the test. Hormones or hormone precursor support i.e. Pregnenalone and DHEA are ok.  \n6. Follow the instruction in the lab kit regarding the urine collection.  \n7. Double check that the completed requisition form has been included before shipping.  \nWhat you need to do next:  \n1. Dr Justin will go over your lab results with you as soon as they are in. We typically receive results within 2-3 weeks.  \n2. Make sure you have an appointment scheduled with Dr Justin to review the results.  \n3. If you have any questions, please call Customer Service at 913-341-8949 or email [CustomerService@gp-labs.com](CustomerService@gp-labs.com)  \nHelp us expedite your test(s) [at www.gpltestinfo.com. Reference \\#: _________________________](at www.gpltestinfo.com. Reference #: _________________________)[Information in red is required to process sample.](Information in red is required to process sample.)  \nTest Requisition Form  \n Must fill out test orders on the reverse side   \nPatient Information (please print clearly)  \n\n| First Name | Last Name |  |  |  |  Male\u003Cbr> Female | Date of Birth (MM/DD/YYYY) |  |  | Age | Weight |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Address |  |  | City | State (NY not accepted) |  |  | Zip Code | Country |  |  |\n| Phone | Email | |  |  |  |  |  |  |  |  |\n\nOur laboratory does NOT accept specimens from patients who reside in or practitioners who practice in the state of New York. Practitioner Information (signature required to process sample)  \n\n| First Name\u003Cbr>Justin |  | Last Name\u003Cbr>Marchegiani |  |  |  |  |  |  | Credentials\u003Cbr>DC |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Institution\u003Cbr>Just In Health Wellness Clinic |  |  | Phone\u003Cbr>512-535-1817 |  |  |  | Fax\u003Cbr>707-227-1529 |  |  |\n| Address\u003Cbr>2028 East Ben White Blvd-Suite 240-265 | City\u003Cbr>Austin |  |  | State (NY not accepted)\u003Cbr>TX |  | Zip Code\u003Cbr>78723 |  | Country\u003Cbr>USA |  |\n| [Email](Email office@justinhealth.com)[ ](Email office@justinhealth.com)[of](Email office@justinhealth.com)[f](Email office@justinhealth.com)[ice@justinhealth.com](Email office@justinhealth.com) |  |  |  |  | NPI\u003Cbr>1477828408 |  |  |  |  |\n| Signature\u003Cbr> Practitioner Signature on File\u003Cbr>■ |  |  |  |  | Carevoyant ID (GPL Account Number)\u003Cbr>517803 |  |  |  |  |\n\nMethod of Payment ICD-10 Codes  \n\n|  Bill Practitioner Practitioner’s Name:   Unavailable for practitioners that reside in the states of New Jersey, Rhode Island and New York.\u003Cbr>■\u003Cbr>Dr. Justin Marchegiani DC | Required for insurance:\u003Cbr>1-   2-   3-   4-   5-  Internal Use Only: |\n| --- | --- |\n|  Bill Insurance Non-Contracted insurance plans must enclose 50% insurance pre-payment (see price list) .\u003Cbr>Refer to Insurance Overview to determine whether you have a contracted or non-contracted insurance plan. For questions, call 913-754-0459. Complete payment information below for Insurance Pre-Payment. |  |\n| Patient Pay (select payment method below)\u003Cbr> Pay online [at ](at www.greatplainslaboratory.com/payments)[www.greatplainslaboratory.com/payments](at www.greatplainslaboratory.com/payments) Transaction ID\\#  \u003Cbr> VISA  MasterCard  Americ","cbCaic48v8tdOsKc","https://ap.wps.com/l/cbCaic48v8tdOsKc","pdf",1238609,"English","# What you should receive\n# What you need to do to complete the Organic Acid test\n## Required requisition details\n## 24-hour dietary and supplement restrictions\n## Follow urine collection instructions\n## Double-check documents before shipping\n# What you need to do next\n# Test Requisition Form\n## Patient information\n## Practitioner information\n## Method of payment and insurance\n## Authorization and acknowledgement of insurance procedures","[{\"question\":\"What items should be included with the Organic Acid test kit?\",\"answer\":\"The kit provides a pre-paid FedEx envelope to return the lab test, instructions for conducting the test, and a sample collection container.\"},{\"question\":\"What must be included on the requisition form for the Organic Acid test?\",\"answer\":\"The requisition form must be filled out with required information, including the date and time the sample was taken. The blank form that came with the kit should be discarded and replaced with the completed version.\"},{\"question\":\"What dietary and supplement restrictions apply before the test?\",\"answer\":\"Avoid apples, grapes, raisins, and cranberries for 24 hours before the test, and avoid nutrient supplements consisting of vitamins, minerals, and amino acids for 24 hours before the test (hormone or hormone precursor support such as Pregnenalone and DHEA is stated as acceptable).\"}]","Great Plains Lab Organic Acid Test Instructions - Complete Lab Test Requisition Form | PDF"]