DNA Narcolepsy Test

DNA Narcolepsy Testnayasa2024-10-29T08:16:06-04:00

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First Name (required):

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Email (required, preferably gmail):

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Driving License/Passport Number (required):

Gender (required):
Male Female

DOB (DD | MM | YYYY) (required):

Ancestry (required):
African American Caucasian Hispanic Middle Eastern Asian Ashkenazi Jewish Central/South American Other

CLINICAL HISTORY (required):
Research Use Contact with Covid19 Employed in Healthcare Hospitalized ICU Resident of Congregate Care Pregnant First Test ReTest Other

SYMPTOMS (required):
None Fever Cough Shortness of Breath Loss of Taste Loss of Smell Headache Chills Shaking Chills Muscle Pain

Details (Optional):

I have read the Informed Consent document and give my permission to myGenomics to perform testing as described. I certify that the sample is fresh and has not been adulterated in any manner. I authorize the myGenomics to release the results of this testing to the ordering provider. I consent to receive the report through email which may not be fully encrypted. I authorize myGenomics to share the results with the state health agencies. I understand the refund policy. It is my responsibility to ensure the test requested and the time window meets the airline and destination country’s requirements.

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Receive the kit by mail instead of coming in person?

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