MBT Registration – Endo DNA

Menopause Biotype DNA Test Registration

DNA Sample Information

Important! You must enter the Sample ID barcode number on collection tube when registering your DNA Sample. Activating your Sample ID number is the only way to get your DNA results.

Patient Name(Required)

First Last

Email Address(Required)

Notifications and test results will be sent to this email address.

Contact Phone(Required)

Please enter a contact number in case we need to contact you directly.

Patient DOB(Required)

Please enter the patient's Date of Birth

DNA Collection Tube Barcode(Required)

Enter the 12-digit barcode from the tube. You will not be able to complete this order without the Sample Barcode ID.

Pay Lab Fee

Pay via Stripe (encrypted)

MBT DNA Lab Fee(Required)

Price:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card(Required)

Please complete the lab fee payment via Stripe.

Menopause Biotype DNA Test Registration

DNA Sample Information

Pay Lab Fee

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