The only bloodwork I had prior to starting was related to Factor V Leiden, which is a clotting disorder that runs in my family (I do not have it, thankfully).
I was prescribed just enough e/spiro to get through to the next appointment. I should double-check that the spiro will last through the actual date, actually. If you are going to run out before your next appointment (including time to fill the prescription if you can't do it same day), I would contact your doctor. I would expect that she could give a prescription as a bridge to make sure you don't interrupt your treatment. That's a pretty important thing to avoid!