Complete this simple form right now, all information which is provided is encrypted and protected, or provide your information over the phone by calling 310.277.4600 from 9:30am to 5pm Los Angeles time, M–F. You can also email us, and we’ll respond within 24 hours (weekdays). Please be advised in order to take the FM/a Test, you will need to stay off of some medications and supplements such as inhalers and nasal sprays that contain steroids for 30-60 days prior to your blood draw.
Thank you for your interest in the FM/a® Test. The FM/a® Test is currently the only university medical center developed, objective, extremely accurate/sensitive, peer-reviewed and FDA-compliant blood test capable of diagnosing fibromyalgia.
You have chosen to order the FM/a® Test without insurance. The FM/a® Test is a complex medical test but we are offering a discounted test fee of $1,080. We have a no-interest payment plan (as little as $15 per week), with your credit card simply tell us how many months you require (from 1-18 months) for payment. Please be sure to complete the remaining fields in this form.
If you have HMO or EPO insurance, you are often limited to the diagnostic tests your HMO/EPO network performs but you have the right to demand that your HMO or EPO pay for the FM/a® Test as no HMO or EPO network is licensed to perform the FM/a® Test and your HMO/EPO network has an obligation to provide medical tests that are at the current standard of medical practice and the only way to objectively diagnosis fibromyalgia via an FDA-compliant test is to have the FM/a® test. If they still refuse, we can assist you in having the FM/a® Test. We have a no-interest payment plan. That way you can pay for the FM/a® test yourself. The cost of the test is $1,080 and via our our credit card payment option you simply tell us how many months you require (from 1-18 months) for payment – as little as $15 per week. Please be sure to complete the remaining portions of this form.
If you have Medicaid or Medi-Cal insurance, please be aware that it won’t pay for highly complex diagnostic tests such as the FM/a® test. Your option is to therefore personally pay for the FM/a® Test via your credit card and take advantage of our no-interest payment plan. The cost of the test is $1,080. Please tell us how many months you need (from 1-18 months) for payment – as little as $15 per week. Please be sure to complete the remaining fields in this form.