Register

Please fill in all the fields below to complete your registration.

A Few Helpful Details:

We take privacy seriously. Personal information will not be disclosed or sold to any third party

Your sample is deidentified before being received at our partner lab for analysis

Your whole exome will be sequenced and available to you via the mylifeIQ platform*

First Name*

Last Name *

Test Kit ID# (ex. GX0280000. Test ID# can be found on test kit and collection tube)*

Gender*

Email*

Phone Number*

Birth Date *

Address*

City *

State

Zip Code*

Country *

Have you been diagnosed with COVID-19 ?

Terms and Conditions*

I Agree to all Terms & Conditions & Privacy Policy and I am over 18 years of age.