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For: Women seeking balance29 biomarkers

Get your energy, mood and metabolism back — built on your actual hormones, not a guess.

29 biomarkers covering the full hormone axis (including free and total testosterone), cortisol, thyroid, metabolic and blood health. Includes a free 30-minute Clarity Call with our Health Coach before your blood test, plus a 30-minute Biomarker Results Review once your results are ready.

4.9/5600+ women testedKAN-accredited lab90-day guarantee
Not sure? Take the 60-second quiz →

Usually reimbursed by international insurance. We send invoices in the right format.

Stacked balancing stones with eucalyptus and dried rose hips on cream linen
What's included
  • Full hormone panel incl. testosterone
  • Cortisol & vitamin D
  • Free 30-min Clarity Call (Pre-test)
  • 30-min Biomarker Results Review (Post-test)
If this sounds like you

You don't need another search. You need the data.

Energy is flat, mood is brittle, and nothing you try sticks.

Weight is creeping on around the middle despite same diet, same training.

Your cycle is shorter, heavier, or has gone unpredictable.

You suspect cortisol, thyroid or PCOS — and you want it tested properly.

What you actually get

Six things, one fixed price, no upsell pressure.

  • At-home nurse blood draw, cycle-timedworth Rp 1.100.000
  • 29-biomarker full-hormone + metabolic panelworth Rp 6.200.000
  • Free 30-min Clarity Call (Pre-test) + 30-min Biomarker Results Review (Post-test)worth Rp 750.000
  • Written specialist review of your hormone axisworth Rp 1.500.000
  • Personalised protocol (nutrition, supps, training, recovery)worth Rp 1.500.000
  • Insurance-ready invoice + ICD-10 codesworth Rp 300.000
  • 90-day results guaranteepriceless
What's measured

29 biomarkers across 3 systems.

Metabolic & Nutritional Markers
Blood Health & Inflammation
  • Hemoglobin
  • Hematocrit
  • Erythrocytes
  • MCV
  • MCH
  • MCHC
  • RDW
  • Platelets
  • Leukocytes (WBC)
  • Basophils
  • Eosinophils
  • Neutrophils
  • Lymphocytes
  • Monocytes
  • ESR
How it works

From booking to plan — from 7 days.

  1. 01
    Book online

    Pick your package and a draw window. We confirm by WhatsApp within the hour.

  2. 02
    Nurse comes to you

    Bali-wide home or villa draw, ~15 minutes. We handle cold-chain transport to the lab.

  3. 03
    Accredited lab analysis

    KAN/NATA-accredited processing of every marker, in standard SI units.

  4. 04
    Results + plan from 7 days

    Written specialist review and your personalised protocol — secure email.

Risk reversal

90-day results guarantee.

If your protocol doesn't give you something actionable within 90 days, we re-run the relevant markers free of charge — same nurse, same lab, no questions. No subscription. No automatic charges. Robyn is available as an optional add-on, never a forced upsell.

  • Re-test relevant markers within 90 days, free
  • Cancel or reschedule up to 24h before your draw
  • Insurance-ready invoice with ICD-10 codes
  • Your data is yours — exportable PDF + raw values
From women like you

600+ women, one calm, clear answer.

"Six weeks on the protocol and the brain fog lifted. First time in two years I've felt like myself."
Anneke V. · Ubud · Dutch
"Turns out my cortisol was wrecked. The plan was specific, not 'eat better and exercise'. That mattered."
Rachel T. · Seminyak · UK
"I finally understand my own cycle. Worth more than the three GPs I'd seen."
Camille D. · Canggu · French
From our clients

600+ women, one personalised plan at a time.

I'd been told my labs were 'normal' for years. Robyn actually explained what was off and what to do about it — sleep and energy back in six weeks.
Marta K.
Canggu · Australian
The nurse came to our villa, the draw took 15 minutes, and the written review landed a week later. Beats the hospital queue in every way.
Sophie L.
Seminyak · New Zealand
Perimenopause hit hard at 41. The panel and protocol gave me a real plan instead of guesswork.
Anneke V.
Ubud · Dutch
Insurance covered the whole panel — Her Form sent the receipts in the right format and I was reimbursed in 10 days.
Priya S.
Sanur · UK
AMH was the answer I needed before starting IVF planning. Quick, calm, and the report was easy to share with my doctor at home.
Elena R.
Uluwatu · Italian
Easily the most premium health experience I've had in Bali — and the most useful.
Hannah T.
Canggu · Australian
01
Rp 3.299.000
You pay at booking

Upfront. Card, bank transfer, or wise.

02
ICD-10 + invoice
We issue documentation

Itemised receipt + specialist-signed report. Exactly what your insurer asks for.

03
Rp 3.134.050back
Insurer reimburses

Typical 90–100% within 2–4 weeks (Cigna, Allianz, Bupa, IMG, SafetyWing, AXA, Aetna, GeoBlue).

Net cost after reimbursement: Rp 164.950(≈ $9.4 USD · A$13) on a Rp 3.299.000 Essential panel.
Insurers we've seen reimburse Her Form panels
CignaAllianzBupaIMGAXASafetyWingWorld NomadsPacific PrimePassportCardGeoBlueHeymondoApril InternationalWilliam RussellIntegra GlobalFoyer Global HealthAetna InternationalNow HealthMSH International

Reimbursement is determined by your individual plan. We provide the documentation insurers require — itemised receipt and ICD-10 codes — but cannot guarantee a specific outcome. We are not affiliated with these insurers.

What's on the receipt insurers see
Her Form Diagnostics — Itemised Receipt
ICD-10: Z01.419 — Encounter for gynecological examination without abnormal findings
— Hormonal panel (Estradiol, Progesterone, FSH, LH, AMH) .... Rp 1,420,000
— Thyroid panel (TSH, fT3, fT4, anti-TPO) ................ Rp   560,000
— Metabolic panel (HbA1c, fasting insulin, lipids) ....... Rp   480,000
— Inflammation markers (hs-CRP, ferritin) ................ Rp   220,000
— Nurse home draw + temperature-controlled transport ..... Rp   160,000
— Specialist-reviewed report (health specialists) ............ Rp   159,000
Total ................................................... Rp 3,299,000
Compare panels

Which Her Form package fits your picture?

Prices shown in IDR — USD/AUD are rough estimates; your local-currency total is confirmed at checkout.

FeatureEssential
Rp 3.299.000(≈ $190 USD · A$260)
Fertility
Rp 7.260.000(≈ $410 USD · A$570)
Harmony
Rp 8.690.000(≈ $490 USD · A$690)
Perimenopause
Rp 8.250.000(≈ $470 USD · A$650)
Biomarkers27302935
FSH / LH / Estradiol / Progesterone
Thyroid (TSH, Free T3, Free T4)
AMH (ovarian reserve)
Free + Total Testosterone
Prolactin
Cortisol
Cholesterol panel (HDL, LDL, triglycerides)
Vitamin D, 25-OH
Iron & ferritin
HbA1c & fasting glucose
CRP (inflammation)
Full blood count + ESR
Free 30-min Clarity Call with Health Coach (Pre-test)
30-min Biomarker Results Review (Post-test)
Written specialist review
FAQ

Harmony — your questions answered

Still unsure? Email hello@getherform.com.

How fast do I get my results?+

Most results land from 7 days after your draw. You get the lab report, the written specialist review, and your personalised protocol all in one secure email.

Do I need to fast?+

Yes — 10–12 hours of water-only fasting gives the cleanest read on glucose, insulin, lipids and thyroid. We book early-morning draws so you can break the fast straight after.

Can I share the report with my GP back home?+

Absolutely. Every report is in standard SI units with ICD-10 codes and is signed off so your GP, gynaecologist or endocrinologist can use it directly.

Is this covered by my international insurance?+

In most cases, yes. We issue itemised invoices in the exact format Cigna, Allianz, Bupa, IMG, SafetyWing, AXA, Aetna and GeoBlue ask for. Typical reimbursement is 90–100% within 2–4 weeks.

What if my results don't show anything actionable?+

90-day results guarantee: if your protocol doesn't give you something actionable, we re-run the relevant markers free of charge.

Is Robyn included?+

Robyn is a women's-health specialist who has consulted with Her Form since launch. Every package includes a written specialist review by our health specialists. A 1:1 consult with Robyn is an optional add-on at booking.

Get your energy, mood and metabolism back — built on your actual hormones, not a guess.

Rp 8.690.000(≈ $490 USD · A$690)

90-day results guarantee · insurance-ready invoices · no subscription

Harmony · 29 biomarkers
Rp 8.690.000(≈ $490 USD · A$690)