CONTENTS of One (1) CHIP Lab Kit
CHIP Blood Collection Instructions (CBCI)
(watch video at http://www.CHIPhealth.com/Blood)
Questions? Call: 909-796-7676
PLEASE FOLLOW
ALL STEPS CAREFULLY
version 1 – 11/16
LMI Account Number: 20146
2 – Prepare Hands
 Wash hands with warm water
and dry thoroughly.
 To increase blood flow, rub
your hands together for 10 to
15 seconds.
 Tear open Alcohol Prep Pads.
Clean ring finger and let dry.
1. CHIP Blood Collection Instructions
2. CHIP Lab Request Form (CLRF)
3. Blood Sample Return Bag
(oxygen scrubber and desiccant are sealed inside Bag –
DO NOT REMOVE from Bag)
4. AdvanceDX100 Serum Separator card (ADX card)
5. Two (2) Lancets (one is an extra)
6. Sterile Gauze Pad
7. Alcohol Prep Pad
8. Sterile Bandage
9. Pre-addressed and Pre-paid Mailing Envelope
3 – Nick Your Finger
 Remove the protective tip
from the Lancet. Twist cap
and pull.
 Place the tip of the Lancet
slightly off center on ring
finger.
 Hold Lancet steady, press
down firmly until it “clicks,”
then release.
1 – Fill Out Your Information
You need to have fasted for 12 hours prior to
collecting your blood sample. Drink water
only.
ADX Card
 Place ADX card on a clean, dry
surface. PRINT your name and
date on the ADX card.
 Complete the CHIP Lab
Request Form.
4 – Drip Blood on Card (1 of 2)
 Squeeze finger from the base
upward to increase blood flow.
 You will place blood drips in the
box on the left of the ADX card.
 Squeeze finger until the blood
drops freely, 4 to 5 drops.
 Standing also helps the blood
flow.
Flip
Over
5 – Drip Blood on Card (2 of 2)
 Four (4) LARGE drops will usually
be enough to reach the 1st line.
 IMPORTANT – Without touching
the card (touching reduces the
size of the blood drop)
CONTINUOUSLY apply 4 drops of
blood to the card. Allow the
blood to drop on the card. DO
NOT stop and wait between
drops.
8 – Mail Sample to the Lab
6 – Allow Blood to Dry for 30 Minutes
 Use Sterile Gauze Pad to
wipe excess blood from your
finger and apply Sterile
Bandage.
 Allow the blood on ADX card
to migrate, stop moving and
then air dry for 30 minutes.
7 – Preparing Sample to Ship
 Tear open the Blood
Sample Return Bag at
notches.
 Insert ONLY the ADX
card into the Blood
Sample Return Bag
and seal (DO NOT
REMOVE the oxygen
scrubber and
desiccant).
9 – Accessing Blood Results (1 of 2)
 Locate the return envelope
included in your CHIP Lab Kit.
 Expect three (3) to five (5) business days from the time
you mail the envelope until your results are ready to view.
 Write your return address on
the envelope.
 To view your results visit http://www.bayshorelabs.com
and Click on Patient Log In.
10 – Accessing Blood Results (2 of 2)

In the Client Number field, type in 20146.

In the Medical Record # field, type in the following: 20146 + Last 4
Digits of your Social Security # + Your Date of Birth (DOB). For
example, if this was your information:
•
Last 4 Digits of Social Security #: 5037
•
Date of Birth: November 2, 1960
20146
You would enter into the Medical Record #
201465037110260
field the following: 20146 5037 110260
5037
 Place Blood Sample Return
Bag and CHIP Lab Request
Form into envelope and seal.
 Drop in mailbox.
End
Client Last 4
# of SS#

DOB
In the Password field, enter the last 4 digits of your Social Security #.
Then click the Login button. SEE YOUR RESULTS!