Physician's Order Form

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$81
APOE
Cardiovascular and Alzheimer’s Disease risks
$157
Abacavir Hypersensitivity
HLA-B*57:01
$157
Addison's Disease
HLA-DRB1
$157
Allopurinol Hypersensitivity
HLA-B*58:01
$157
Ankylosing Spondylitis
HLA-B
$157
Behcet's Disease
HLA-B
$157
Birdshot Chorioretinopathy
HLA-A
$146
Bone Health Panel
$80
COMT
Neurotransmitter and estradiol levels · Pain and stress response
$157
Carbamazepine Hypersensitivity
HLA-B*15:02
$146
Cardiac Health
Clotting risk · Blood pressure · Plaque development · Lipid transport · Statin metabolism
$157
Celiac Disease
HLA-DQA1 and HLA-DQB1
$211
Comprehensive Genetic
Cardiac Health · Weight Management · Nutrition · Graceful Aging · Methylation · Mood, Brain and Diabetes Risk
$157
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
$228
Mold and CIRS
HLA-DRB1, HLA-DRB345, HLA-DQB1
$146
Mood Profile
Risks associated with developing depression
$157
Multiple Sclerosis
HLA-DRB1
$157
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
$207
Penicillin Hypersensitivity
HLA-B
$157
Rheumatoid Arthritis
HLA-DRB1
$157
Sjogren's Syndrome
HLA-B
$157
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 $ 157.00
Addison's Disease $ 157.00
Allopurinol Hypersensitivity $ 157.00
Ankylosing Spondylitis $ 157.00
Behcet's Disease $ 157.00
Birdshot Chorioretinopathy $ 157.00
Bone Health Panel $ 146.00
COMT $ 80.00
Carbamazepine Hypersensitivity $ 157.00
Cardiac Health $ 146.00
Celiac Disease $ 157.00
Comprehensive Genetic $ 211.00
Graves' Disease $ 157.00
MTHFR $ 88.00
MTHFR & COMT $ 125.00
Mold and CIRS $ 228.00
Mood Profile $ 146.00
Multiple Sclerosis $ 157.00
Narcolepsy $ 157.00
Nutritional Deficiencies $ 146.00
PGx Comprehensive $ 260.00
Penicillin Hypersensitivity $ 207.00
Rheumatoid Arthritis $ 157.00
Sjogren's Syndrome $ 157.00
Systemic Lupus Erythematosus $ 157.00
Weight Management $ 104.00
Total $
Total After Coupon $
Provider Details
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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: