Order Form - Home Breath Test Kits

Please add using format: dd/mm/yyyy
Please include area code, eg. 03 if this is a landline phone
Please include your Area Code. Example the Area code for Melbourne would be 03
For paediatric patients, sugar dose need to be adjusted according to bodyweight

A Gastrolab staff member will contact you on your contact number to arrange payment for the Breath Test Kits once you have placed your order.

Patient's Postal Address - For Delivery

Breath Test Kits Required

FODMAP Malabsorption

Small Intestinal Bacterial Overgrowth

Would you like a health practitioner to receive a copy of your results?

Complete this section only if you would like a copy of your test results sent to your health practitioner

Please include Area Code: e.g: 03
Please include Area Code: e.g: 03

Terms & Conditions

  1. Cost is non-refundable

  2. Tests should be completed and posted back as soon as practical to ensure test validity

  3. We recommend one test is performed every 2-3 days.

  4. All kit components must be returned. Missing components may incur a replacement fee

By ordering a home breath test kit you agree to these terms and conditions.

Contact Us

Phone: 1300 624 771
Fax: (03) 9331 4198
Email: enquiries@gastrolab.com.au

Head Office: Level 1 456 Lower Heidelberg Road Heidelberg VIC 3084

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Breath Testing - Sydney (NSW)

Breath Testing - Canberra (ACT)

Breath Testing - Perth (WA)

Breath Testing - Brisbane (QLD)

Breath Testing - Adelaide (SA)