Stop guessing if it's perimenopause. Get answers — and a plan.
35 biomarkers across hormones (including free and total testosterone), thyroid, cholesterol, cortisol, iron, 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.
Usually reimbursed by international insurance. We send invoices in the right format.
- ✓Estradiol, progesterone, FSH, testosterone
- ✓Cholesterol, cortisol & vitamin D
- ✓Free 30-min Clarity Call (Pre-test)
- ✓30-min Biomarker Results Review (Post-test)
You don't need another search. You need the data.
Sleep, mood and cycle are shifting and your GP says 'you're too young'.
You're weighing up HRT and want bloods before that conversation.
Hot flushes, brain fog or anxiety arrived out of nowhere.
You want cholesterol, cortisol and metabolic markers checked while you're at it.
Six things, one fixed price, no upsell pressure.
- ✓At-home nurse blood draw, cycle-timed where possible
- ✓35-biomarker perimenopause + general-health panel
- ✓Free 30-min Clarity Call (Pre-test) + 30-min Biomarker Results Review (Post-test)
- ✓Written specialist review including HRT-readiness flags
- ✓Personalised protocol (symptom relief, nutrition, training, supps)
- ✓Insurance-ready invoice + ICD-10 codes for your GP at home
- ✓90-day results guaranteepriceless
35 biomarkers across 3 systems.
- Fasting Glucose
- HbA1c
- Vitamin D, 25-OH
- Iron
- Ferritin
- Cortisol
- Total Cholesterol
- HDL
- LDL
- Triglycerides
- CRP (C-Reactive Protein)
- Hemoglobin
- Hematocrit
- Erythrocytes
- MCV
- MCH
- MCHC
- RDW
- Platelets
- Leukocytes (WBC)
- Basophils
- Eosinophils
- Neutrophils
- Lymphocytes
- Monocytes
- ESR
From booking to plan — from 7 days.
- 01Book online
Pick your package and a draw window. We confirm by WhatsApp within the hour.
- 02Nurse comes to you
Bali-wide home or villa draw, ~15 minutes. We handle cold-chain transport to the lab.
- 03Accredited lab analysis
KAN/NATA-accredited processing of every marker, in standard SI units.
- 04Results + plan from 7 days
Written specialist review and your personalised protocol — secure email.
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
600+ women, one calm, clear answer.
"Perimenopause hit hard at 41. The panel and protocol gave me a real plan instead of guesswork."
"I took the report straight to my GP back home and she started HRT the same week. Game-changer."
"Cholesterol and cortisol flagged things my GP wouldn't have tested for years. So glad I did this now."
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.
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.
Perimenopause hit hard at 41. The panel and protocol gave me a real plan instead of guesswork.
Insurance covered the whole panel — Her Form sent the receipts in the right format and I was reimbursed in 10 days.
AMH was the answer I needed before starting IVF planning. Quick, calm, and the report was easy to share with my doctor at home.
Easily the most premium health experience I've had in Bali — and the most useful.
Upfront. Card, bank transfer, or wise.
Itemised receipt + specialist-signed report. Exactly what your insurer asks for.
Typical 90–100% within 2–4 weeks (Cigna, Allianz, Bupa, IMG, SafetyWing, AXA, Aetna, GeoBlue).
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
Which Her Form package fits your picture?
Prices shown in IDR — USD/AUD are rough estimates; your local-currency total is confirmed at checkout.
| Feature | Essential Rp 3.299.000(≈ $180 USD · A$260) | Fertility Rp 7.260.000(≈ $410 USD · A$580) | Harmony Rp 8.690.000(≈ $490 USD · A$700) | Perimenopause Rp 8.250.000(≈ $460 USD · A$660) |
|---|---|---|---|---|
| Biomarkers | 27 | 30 | 29 | 35 |
| 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 | ✓ | ✓ | ✓ | ✓ |
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.
Stop guessing if it's perimenopause. Get answers — and a plan.
90-day results guarantee · insurance-ready invoices · no subscription