Suggested Testing Date & Time
Please select the date and time for testing. The testing process will take approximately 30 to 60 minutes, depending on the number of tests requested and if the donor can produce a quality sample.
Appointment
*
Main Contact
Main Contact's Name
*
First Name
Last Name
Company's Name
Please enter a valid phone number.
Phone Number
*
Email
*
This is the email that results will be sent to.
Address (Or Area/City):
*
I understand that an invoice for the fingerprinting cards and mileage at $0.62 per each additional mile (first 15 miles from 76015 free) will be sent separately and must be processed before the fingerprinting can be completed.
*
Please Select
Yes
No
Signature
DateTime
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