DEXA Scan for Body Composition Name * First Name Last Name Date of Birth * Email * Phone * (###) ### #### I attest I am not pregnant and/or have consulted my healthcare provider concerning the saftey of getting this DEXA scan. * Yes I understand the participant agreement and PayPal fee must both be completed before my DEXA is ordered. * Yes What town is closest to you? Lexington, KY Ashland, KY We are excited for you! Be on the lookout for an email with a DocuSign form and a PayPal request.
