PROVIDER QUICK ONLINE ORDER FORM

Nutrigenomic (NGx) Panels
Foundation | Methylation | Wellness (101) $149.00
Immune | Auto-Immune (102) $199.00
Neurological | Psych (103) $149.00
Chronic Pain (104) $189.00
Developmental (105) $239.00
Pro7 (formerly 55 SNP Report) (106) $359.00
Neurotransmitters (107) $119.00
Gastrointestinal (108) $119.00
Autophagy (109) $149.00
Detoxification (110) $119.00
Women’s Health (111) $149.00
Men’s Health (112) $119.00
Diet & Wellness (114) Coming Soon
TBI | Post Concussion (115) $239.00
Essential Vitamins (116) $149.00
Diabetes Predict® Panel (117) $179.00
Pharmacogenomic (PGx) Panel
Pharmacogenomic (PGx) $175.00
Microsampling Via Blood (Finger Prick)
Vitamin D $49.00
Thyroid (Free T3 & Free T4) Coming Soon
  Grand Total: $

NOTE: This order will be submitted to HQ and you will receive an invoice via email when the order has been placed. A $5.95 shipping fee will be applied to all drop ship orders. Please submit swab for new patients if applicable.