When you press the 'Submit' button at the end of completing this form you will be directed to a page containing a summary of your details and the cost of the genetic test(s) requested. The form automatically calculates the cost for new submissions and EXTRA tests (you can even include both on the same form). You will then be given the option to use our secure online card payment system or send a cheque or make an online bank transfer. A confirmatory email of your submission will also be sent, if any of the details are incorrect please contact us.
By completing and submitting this form you agree to our terms and conditions.
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Your data
We collect and process data in order to function effectively as an organisation. Personal data is processed for a variety of reasons and all such data will be collected and processed in accordance with the requirements of the General Data Protection Regulation (GDPR) and Data Protection Act 2018. Clinical data may be used for research purposes however personal data will not be shared. Read our Privacy Policy which explains how we collect, use and share personal data. By submitting this form you are indicating agreement to the privacy policy.