In-Office Testing

1. Complete Registration

Complete the online form below to register and order our products. We will contact you as a testing partner and arrange a short orientation call.

Clinic Information
Practice Name*
Website
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Office Phone
Office Fax
Practice Administrator / Office Manager*
First Last
Secure Email Address*

Enter a secure email address that can be used for report downloads.
Is your clinic part of a multi-clinic structure?
- Yes
- No
Is your clinic part of a group purchasing organization?
- Yes
- No
Doctor Information
Doctor Name*
Email*
Specialty
NPI # (USA Only)
Doctor Name
Email
Specialty
NPI # (USA Only)
Doctor Name
Email
Specialty
NPI # (USA Only)
Doctor Name
Email
Specialty
NPI # (USA Only)
Doctor Name
Email
Specialty
NPI # (USA Only)
Consent*
I have read and agree to the privacy policy.
Name
This field is for validation purposes and should be left unchanged.

The patient sample is a simple cheek swab taken in your office. Once you collect the sample, simply ship it to us using the envelope provided.

You will receive a confirmation email when the lab receives your sample.

We will send you a report within four weeks. You will be ready to share the results and new insights with your patients at their next appointment.