Ready to Begin Laboratory Ordering? 

Step 1: Complete and submit all information requested below.

Step 2: A representative from MyGenetx will reach out to the office contact within 2 business days to go over and collect any additional information and schedule training if needed.

Step 3: You will receive a welcome email with instructions on how to log into our portal, and information to join your scheduled training (if requested). Test kits will be mailed to the address provided. 

Step 4: You are ready to begin ordering! 

Provider Name *
Provider Name
Facility Address *
Facility Address
Phone Number *
Phone Number
Fax Number *
Fax Number
Please list each person that will be using the web portal.
Disclaimer
By clicking submit, I hereby give authorization, to the above names users, to the MyGenetx web portal. Permissions will include but are not limited to viewing and printing patient results. I acknowledge that through remote access to the web portal, my authorized users and I may obtain confidential patient information. I understand that this confidential information is protected by federal and state law, as well as the policies of MyGenetx Lab. I agree my authorized users and I will comply with all applicable laws regarding the privacy and security of health information including but not limited to HIPAA.