Wellness Blueprint WDN Cleveland Heart Lab Panel

WDN Cleveland Heart Lab Panel

At the Wellness Dentistry Network, we’re proud to offer the Cleveland Heart Lab (CHL) Panel, an advanced panel for evaluating inflammatory, lipid, and metabolic biomarkers and gaining deeper insights into overall health.

This comprehensive panel tests for key markers, including:

F2-Isoprostane
hs-CRP
Microalbumin/Creatinine Ratio
Lp-PLA2
Myeloperoxidase
ADMA/SDMA
Glucose, HbA1c, Insulin
Vitamin D
Omega Check
ApoB / ApoA1

Looking to Get Started?

Fill out the form below to have a WDN Cleveland Heart Lab requisition form emailed to you. Schedule an appointment at a Quest Lab and bring the form with you for your blood draw.

Find A Quest Lab Location

Wellness Blueprint Data Requisition Form

Wellness Blueprint Data Requisition

Please fill out the below form to submit the requested data to the Wellness Dentistry Network team. This information helps our team fill out your bloodwork requisition form and provides additional data for your health journals.

Select Your Course Month

Select Your Course Year

First Name

Middle Initial

Last Name

Address Line 1

Address Line 2

City

State/Province/Region

Zip Code / Postal Code

Country

Blood Biomarker Requisition Information

Below is the data requested by the blood draw companies to complete your requisition form. Please note that BMI does not need to be calculated if it is not known.

Since this blood test reviews inflammatory, lipid, metabolic, and nutritional biomarkers, we request that this be an 8-hour fasting blood draw. If you cannot fast due to specific conditions, please let our team know and we will take that information into account when we review the data.

Sex Assigned at Birth

Ethnicity

Height, in inches

Weight, in lbs

BMI, if known

Date of Birth

Requested Clinical Data

To assist us in creating a thorough health journal after the course’s completion, we request that you send your most recent periodontal chart and bitewing radiographs.

For your periodontal chart: Please ensure that it includes pocket depth, bleeding on probing, and recession, at a minimum.
For your radiographs: Please submit your bitewing radiographs and anterior PAs, at minimum. We request if you have bone loss that you submit vertical bitewings.

Choose File

Acknowledgments

Please be aware that we will performing a variety of assessments and tests on you throughout your Wellness Blueprint course. Salivary diagnostic tests will be performed and there are certain timeframes we want to make you aware of to ensure the most accurate test is achieved. Please review the acknowledgements below.

Wellness Blueprint Acknowledgements

I acknowledge that for the most accurate salivary diagnostic test results I should refrain from getting my teeth professionally cleaned or my biofilm professional manipulated for six weeks prior to the Wellness Blueprint course as this may alter or skew my test results

I acknowledge that if I’ve taken a course of systemic antibiotics in the past five weeks for a medical condition, I will alert the Wellness Blueprint support team as this may alter or skew my test results

I acknowledge that I can do my normal oral homecare routine on the day of salivary diagnostic testing, but should refrain from all mouthrinses that morning as this may alter or skew my test results.

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