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Evvy Vaginal Microbiome Pre-Appointment Form

Please answer all questions honestly to ensure the most accurate results. Providing correct information helps us determine whether you are ready for testing today and prevents invalid or delayed results.

Birthday
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Pre-Testing Eligibility Questions

Are you currently on your period or spotting?
Yes
No

If Yes: Evvy testing cannot be performed during active bleeding. Please wait until bleeding has fully stopped before scheduling.

Have you hade sex in the last 24 hours?
Yes
No

If Yes:Please wait 24 hours after sexual activity before testing to ensure accurate results.

Have you used antibiotics in the last 7 days?
Yes
No

If Yes: Please wait at least 7 days after completing antibiotics before testing

Have you used any vaginal creams, gels, suppositories, or treatments in the last 48 hours?
Yes
No

If Yes: Please wait 48 hours after using vaginal products before testing.

Health Screening

Are you currently experiencing fever?
Yes
No
re you experiencing severe pelvic or abdominal pain?
Yes
No
Have you been advised by a provider to avoid vaginal testing today?
Yes
No

If Yes, please contact your healthcare provider before scheduling testing.”

Preferred appointment date & time. Appointment will be approved based on availability. Approved appointments will be confirmed via email
Jul - Aug 2026
SunMonTueWedThuFriSat
Week starting Sunday, July 26
Time zone: Coordinated Universal Time (UTC)Business location
Thursday, Jul 30
10:00 AM - 11:00 AM
11:00 AM - 12:00 PM
12:00 PM - 1:00 PM
1:00 PM - 2:00 PM

Consent & Acknowledgement

By submitting this form, I confirm that:

  1. I have answered all questions honestly to ensure accurate testing.

  2. I understand that Evvy testing cannot be performed if I do not meet the pre‑testing requirements.

  3. I understand this service is performed in‑office only at AccuGen Diagnostics LLC.

  4. I understand this test does not diagnose any medical condition.

  5. I agree to follow all instructions provided before and during my appointment.

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Vaginal Microbiome Testing
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