Order Lab Testing Kits – Drop Ship to Patient Choose this option to have a genetic test kit shipped directly to your patient. You will be charged for the panel price plus a $5.95 S&H Fee at the time the order is placed. Provider ContactProvider Name*Provider Email* Provider Phone Number* Patient InformationName* First Last Date of Birth* Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Ordering InformationTest Kit - Drop Ship to Patient Price: $0.00 Quantity: 1You will be charged for the panel price plus a $5.95 S&H Fee at the time the order is placed.
