Facility Sign Up

Welcome to the Aura Genetics Facility Sign-up Page!
Aura Genetics is making it Fast and Easy to care for your patients and facility residents!
Please tell us about your facility to get started or learn more.

My facility is interested in:

Weight Loss

Hormone Replacement Therapy

Pharmacogenomics (PGx) (medication metabolism test)

Food Sensitivity

Contact Person's Name(Required)

First Last

Contact Person's Direct/Mobile Phone Number(Required)

Contact Person's Email(Required)

Facility Name(Required)

Facility Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Facility's Main Phone Number(Required)

Facility's Fax Number

Please briefly describe your facility:(Required)

How did you hear about Aura Genetics?(Required)

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