Legal Paternity Test

Legal Paternity Testnayasa2023-10-30T09:33:05-04:00

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- Available

- Booked

- Pending

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- Partially booked

Select Times (required):

First Name (required):

Last Name (required):

Email (required, preferably gmail):

Phone (required):

Address (required, no comma):

City (required):

State (required):

County (required):

Country (required):

Zip Code (required):

Driving License or 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.

Referral agency (Optional):

Coupon Code:

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