Taking Specimens other than Blood in Office

Under the regulations made under the LSCCLA, naturopaths are permitted to take non-blood specimens from his or her own patient in his or her own office for two purposes:
  • performing any of identified tests in his or her own office on that specimen; or
  • sending the specimen to a laboratory licensed under the LSCCLA for testing.

In-Office Testing on Non-Blood Specimens


Under the regulations made under the LSCCLA, naturopaths are permitted to take non-blood specimens from his or her own patient in his or her own office for the purposes of performing only the following 10 tests in his or her office on that specimen:


 Test  Specimen
 Ascorbic acid (ascorbate) Vitamin C  Urine
 BTA Bioterrain Assessment  Urine
 Human Chorionic Gonadotropin – pregnancy test  Urine
 Indican  Urine
 Koenisberg  Urine
 Oxidative testing  Urine
 Rapid Strep Test  Throat swab/culture
 Routine urinalysis by dipstick  Urine
 Sulkowitch  Urine
 Vaginal pH  Vaginal swab/culture

(Reference:  R.R.O. 1990, Regulation 683 (Specimen Collection Centres), section 8, paragraph 2)

Sending Specimens to a Licensed Laboratory

Under the regulations made under the LSCCLA, naturopaths are authorized to take or collect other non-blood specimens from his or her own patient in his or her own office for the purposes of ordering any the following 61 tests from a laboratory licensed under the LSCCLA.

A naturopath may not perform these tests on the specimens.

Tests Performed on Stool:

1. Bacteria / yeast (microbiology profile).
2. Calprotectin Fecal.
3. Comprehensive Digestive Stool Analysis.
4. Elastase.
5. Fecal Fat.
6. Occult Blood.
7. Parasites and Ova.

Tests Performed on Urine:

8. 5α-dihydrotestosterone (DHT).
9. Aldosterone.
10. Bilirubin (total, total conjugated, unconjugated, direct and indirect).
11. Bisphenol A.
12. Calcium, Calcium ionized.
13. Chlorinated pesticides.
14. Cortisol – bound and unbound, no differentiation.
15. Cortisol/Cortisone.
16. Creatinine Clearance.
17. Cultures – urine, screening, actual culture without identification.
18. Dehydroepiandrosterone sulphate (DHEAS).
19. Estradiol.
20. Estriol.
21. Estrogen.
22. Estrone.
23. Human Growth Hormone.
24. Luteinizing Hormone.
25. Melatonin.
26. Oxytocin.
27. Porphyrins, screen.
28. Progesterone.
29. Routine Urinalysis (glucose, blood, ketone, leukocytes, etc.)
30. Testosterone.
31. Testosterone, free.
32. Thyroid hormones.
33. Toxic Metals.
34. Uric acid (urate).
35. Urinary Organic Acid Test.

Tests Performed on Saliva:

36. 17-OH-Progesterone.
37. 5α-dihydrotestosterone (DHT).
38. Aldosterone.
39. Androstenedione.
40. Cortisol – bound and unbound, no differentiation.
41. Dehydroepiandrosterone sulphate (DHEAS).
42. Esterol.
43. Estradiol.
44. Estriol.
45. Estrogen.
46. Estrone.
47. Melatonin.
48. Progesterone.
49. Testosterone.
50. Testosterone, free.

Tests Performed on Hair:

51. Heavy Metal – Hair element analysis.

Tests Performed on Tissue/Discharge/Sputum:

52. Culture – throat swab for streptococcus screen only.
53. Culture and sensitivities (other swabs or pus – culture and smear [includes screening]).
54. Culture and sensitivities (sputum – culture and smear).
55. Nail and skin cultures.
56. Nasal swabs (other swabs or pus – culture and smear [includes screening]).
57. Pap smear (smear only, gram or Papanicolaou stain as sole procedure).
58. Seminal fluid examination (complete).

Tests Performed on Breath:

59. Hydrogen breath test.
60. Intestinal permeability test.
61. Urea breath test for H. pylori.

(Reference:  R.R.O. 1990, Regulation 683 (Specimen Collection Centres), section 8, paragraph 3; Appendix B.)