Register a Kit

If you have already received your GenoTest kit and have provided your saliva sample, your next step is to register your kit so that we can match it to you when we receive it. Please complete the following form before mailing your kit back to us.

To register your kit, please complete the following form for the person whose saliva sample has been taken.

* Indicates required fields

Full Name:*
Phone:*
-
E-mail:*
Barcode # (located on saliva tube):*
Date of Birth:*
Gender:*
Ethnicity:*
Provider ID & Name:*
Best time to contact you:
What is the best method of contact?
Technology you have access to:
Type the characters you see here:
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