Setup Your Account

 

To open an account, simply fill out the form below, and we will respond within 2 business days to confirm your application.

You will also receive information on billing, shipping, and consultations with Dr. Khangura. If you would like to speak to us directly before opening an account, please feel free to Contact Us.


Please complete the form below

Physician Name *
Physician Name
Please list the other health care providers within the office that may use SIBO Diagnostics. This allows for each health care provider to receive confidential results reporting.
Clinic Address *
Clinic Address
Phone *
Phone
Person of contact at clinic, if not ordering physician. (i.e. Office Manager/Administrator)

To place your credit card on file, please download and send us the Credit Card Payment form below via email or fax (778-265-8341) in order to expedite your account setup. 


 
 

To Order SIBO Testing Kits, please ensure your account has been setup and your payment information is on file. Kits can be ordered by clicking here.

For FREE SHIPPING, the following MINIMUM orders apply:

  • 3 KITS for Western Canada, including British Columbia, Alberta, Saskatchewan and Manitoba
  • 6 KITS for Eastern Canada, including Ontario, Quebec, the Maritime provinces. 

To place your credit card on file, please download and send us the Credit Card Payment form below via email or fax (778-265-8341) in order to expedite your account setup.