Order a PGx Test

Do I need a healthcare provider to order this test?
Yes, you need a healthcare provider who is licensed and able to write a prescription (e.g. MD, DO, NP, PA) to complete the test order. If you would like us to reach out to your provider and provide information about our testing, please submit the information below.

Name(Required)

First Last

Phone Number(Required)

Address(Required)

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

Email(Required)

Birthdate(Required)

Doctor's Name(Required)

Doctor's Phone Number(Required)

Doctor's Address(Required)

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

Why are you interested in a PGx test?(Required)

How did you hear about us?(Required)