Physician's Order Form

Ready to buy? Enter your Provider Email and select panels to get started.
Not a Provider? Fill out our webform: Become a New Provider.

$81
APOE
Cardiovascular and Alzheimer’s Disease risks
$208
Abacavir Hypersensitivity
HLA-B*57:01
$208
Addison's Disease
HLA-DRB1
$208
Allopurinol Hypersensitivity
HLA-B*58:01
$109
Ankylosing Spondylitis
HLA-B
$208
Behcet's Disease
HLA-B
$208
Birdshot Chorioretinopathy
HLA-A
$146
Bone Health Panel
$80
COMT
Neurotransmitter and estradiol levels · Pain and stress response
$208
Carbamazepine Hypersensitivity
HLA-B*15:02
$146
Cardiac Health
Clotting risk · Blood pressure · Plaque development · Lipid transport · Statin metabolism
$163
Celiac Disease
HLA-DQA1 and HLA-DQB1
$211
Comprehensive Genetic
Cardiac Health · Weight Management · Nutrition · Graceful Aging · Methylation · Mood, Brain and Diabetes Risk
$416
Graves' Disease
HLA-DRB1
$88
MTHFR
Folate metabolism · Cardiovascular and depression risk
$125
MTHFR & COMT
Folate metabolism · Cardiovascular and depression risk · Neurotransmitter and estradiol levels · Pain and stress response
$237
Mold and CIRS
HLA-DRB1, HLA-DRB345, HLA-DQB1
$146
Mood Profile
Risks associated with developing depression
$416
Multiple Sclerosis
HLA-DRB1
$832
Narcolepsy
HLA-DRB1, HLA-DQB1
$146
Nutritional Deficiencies
Vitamin A · Vitamin B9 (folate) · Vitamin B12 · Vitamin D · Iron
$260
PGx Comprehensive
Cytochrome P450 activity · Metabolism of statins, opioids, warfarin, folate · Risk of thrombosis
$215
Penicillin Hypersensitivity
HLA-B
$416
Rheumatoid Arthritis
HLA-DRB1
$276
Sjogren's Syndrome
HLA-B
$416
Systemic Lupus Erythematosus
HLA DRB1
$104
Weight Management
Carbohydrate and fat metabolism · Meal plans and exercise recommendations
Total: $
New Order
 
APOE $ 81.00
Abacavir Hypersensitivity $ 208.00
Addison's Disease $ 208.00
Allopurinol Hypersensitivity $ 208.00
Ankylosing Spondylitis $ 109.00
Behcet's Disease $ 208.00
Birdshot Chorioretinopathy $ 208.00
Bone Health Panel $ 146.00
COMT $ 80.00
Carbamazepine Hypersensitivity $ 208.00
Cardiac Health $ 146.00
Celiac Disease $ 163.00
Comprehensive Genetic $ 211.00
Graves' Disease $ 416.00
MTHFR $ 88.00
MTHFR & COMT $ 125.00
Mold and CIRS $ 237.00
Mood Profile $ 146.00
Multiple Sclerosis $ 416.00
Narcolepsy $ 832.00
Nutritional Deficiencies $ 146.00
PGx Comprehensive $ 260.00
Penicillin Hypersensitivity $ 215.00
Rheumatoid Arthritis $ 416.00
Sjogren's Syndrome $ 276.00
Systemic Lupus Erythematosus $ 416.00
Weight Management $ 104.00
Total $
Total After Coupon $
Provider Details
*Required
Patient
*Required
Ship-To Address
*Required


Any discount will be applied in the next page.

Preparing Payment, Please Wait...
New Order

Please wait...

Invoice Number
Transaction ID

Thank you for your order. Your payment has been successfully processed and we will fulfill your order within 1 business day. Providers will receive one email confirming this order, and a second secure email containing the report(s). If you are a Provider with an existing Portal Account, your report(s) will also be uploaded to the Portal. If you are a new Provider interested in a Portal account, please contact our Sales Team at 877-879-1815 option 4 to assist you in setting up your account. If you are a Patient placing your own order under your Provider’s account, your provider will receive your report on your behalf. Please follow up with your Provider for your results.

Important Notes to Patient and Physicians: