Individual Order Form

Individual Order Form

Individual test kits will be filled out based on the information on this form and shipped to the address below.
Name*
Email*
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My Products*

Tricho Test (Alopecia Test)

$169.00 Quantity
Item subtotal:$0.00

Nutrigen

$199.00 Quantity

AcneTest

$169.00 Quantity

Pro7

$339.00 Quantity

Foundation | Methylation

$189.00 Quantity

Women's Health

$189.00 Quantity

Developmental

$189.00 Quantity

Immune | Auto Immune

$189.00 Quantity

Neuro | Psych

$189.00 Quantity

TeloTest

$99.00 Quantity

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Total

$0.00

Disclaimer
By signing this form I confirm that I am a provider or business partner taking this test to understand what Fagron Genomics US can offer. One test kit will be sent to the purchasers home and a report will be viewable in a online secure platform. No access will be given to one on one review with educators, pods casts or marketing material if not registered as a provider with Fagron Genomics US. Fagron Genomics US is not a direct to consumer site and therefore should only be ordered by providers or business partners.
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Disclaimer