Payment Portal

Note: This form is only to register/pay for your test kit. If you would like to purchase a kit and be shipped to you, please click here.

If you received a test kit from your Doctor use this form to register and pay!

Step 1 of 2

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Patient First Name *

Patient Last Name *

Accession ID *

Date of Birth *

Finding Accession ID

You Accession ID number can be found on the top right of your kit registration form.