DNA Testing
Testing Type
*
Paternity, Maternity, Grandparent, Immigration
Primary Participant
*
First Name
Last Name
Date of birth
*
What is your gender?
*
Please Select
Male
Female
N/A
Contact Number
*
Format: (000) 000-0000.
Email Address
*
example@example.com
Number of Participants
Alleged Father #1 Alleged Father #2
Where will testing take place for AF#1
*
Where will testing take place for AF#2
*
Have you had a blood transfusion in the last 30 days?
Yes
No
Are all parties cordial?
Yes
No
Do you understand the total costs of test will be paid at time booking?
*
Yes
No
Do you understand that approximate mileage will be due the day be scheduled test at 62 cents per mile?
*
Yes
No
Do you understand you must cancel 48 hours prior to the date of test in order to receive a full refund and 50% if less than 48 hours?
*
Yes
No
Do you understand you must cancel 48 hours prior to the date of test in order to receive a full refund and 50% if less than 48 hours?
*
Yes
No
Do you understand that results are sent to the person who ordered the test
*
Yes
No
Please upload a copy of driver's license or state ID
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Paternity Test
$300.00
$
300.00
Quantity
1
2
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Maternity Test
$300.00
$
300.00
Quantity
1
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Grandparentage
$360.00
$
360.00
Quantity
1
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Immigration
$300.00
$
300.00
Quantity
1
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9
10
Post Mortem
$550.00
$
550.00
Quantity
1
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