DNA Test - Client Data

Suggested Testing Date & Time

Please select the date and time for testing the child(ren). The alleged father(s) are welcome to attend at this time, or we can arrange to meet them at a location you specify below. The testing process will take approximately 15 to 30 minutes, depending on the number of tests requested.
Ideal Appointment
Main Contact

Please enter your personal information. Results will ONLY be sent to the main contact.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Promo Code:
If you have a Referral Code enter it here.
Email
Main Contacts Relationship to Child(ren)
Is the main contact, the other party being tested on cordial terms?
Type of DNA Test
What is the unusual object
Example: Toothbrush, hair, etc.
PATERNITY/RELATIONSHIP DNA TEST - Is the mother/other party aware that a DNA test is being completed?
Please note that this is not a requirement to complete a Peace of Mind DNA Test but is a requirement for a Legal (court-admissible) DNA test.
Testing address:
Children's Information

This section is for anyone being tested that is 17 or under.
Child #1

First NameLast Name
Child #1 - Date Of Birth

MonthDayYear
Child #2

First NameLast Name
Child #2 - Date Of Birth

MonthDayYear
Child #3

First NameLast Name
Child #3 - Date Of Birth

MonthDayYear
Child #4

First NameLast Name
Child #4 - Date Of Birth

MonthDayYear
Child #5

First NameLast Name
Child #5 - Date Of Birth

MonthDayYear
First Testing Adult's Information

This section is for anyone who is taking the a DNA test that is 18 or older.
First Adult's Name

First NameLast Name
First Adult's Date Of Birth

MonthDayYear
First Adult's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
First Adult's Relationship to Child(ren)
First Adult's Email
Testing address of alleged father #1: (if different from above) Each additional testing address/appointment is a $35 travel fee.
Second Adult's Information

This section is for anyone who is taking the a DNA test that is 18 or older.
Second Adult's Name

First NameLast Name
Second Adult's Date Of Birth

MonthDayYear
Second Adult's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Second Adult's Relationship to Child(ren)
Second Adult's Email
Testing address of second testing adult: (if different from above) Each additional testing address/appointment is a $35 travel fee.
Second Adult's Email
Third Testing Adult's Information

This section is for anyone who is taking the a DNA test that is 18 or older.
Third Adult's Name

First NameLast Name
Third Adult's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Third Adult's Relationship to Child(ren)
Third Adult's Email
Testing address of third testing adult: (if different from above) Each additional testing address/appointment is a $35 travel fee.
I understand that the total costs must be paid at least 24 hours before the first appointment or at least 4 hours before the test if booking same day?
I understand that there only 1 testing location is included in the test additional testing locations / additional appointments will be a $35 charge.
I understand the refund policy outlined on our website.
I understand that results are only emailed to the person listed above as the main contact.
Signature
DateTime
After you submit your appoitnment request someone from our team will call you to answer any additional questions that you might have and confirm your appointment. They will also email you the invoice to process payemnt.
Should be Empty:

Suggested Testing Date & Time

Main Contact

Children's Information

First Testing Adult's Information

Second Adult's Information

Third Testing Adult's Information