Register | A PGX Drug-Interaction App

Welcome to

Hi there! Let's start with your name

Please provide your full name.

Already have an account? Login

Choose a password

For your own safety, use a strong password.

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How can we contact you?

Please provide your email and phone number for important updates.

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Additional information

We need to know more about you.

Sex at birth

Male

Female

Date of birth

Before we continue

Do you already have a kit?

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Shipping information

Where should we ship your test kit?

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Organization or Discount Code

Did you receive a code for your organization or a discount code? Enter it below.

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Current Medication

Are you taking any medication? Please add them below.

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Sample Collection Tips

Your must follow our sample collection tips to ensure a successful collection for your test. Please check off each box after the step has been completed.

Wash your hands before opening the collection swab.

Do not to eat, drink or chew anything at least 30 mins before using the collection swab.

Apply pressure on both sides of your cheek when doing the collection.

Do not let the swab come in contact with any surface or object.

Allow for up to 2 minutes for the swab to dry before placing in the specimen bag.

Place each swab inside of the provided tubes - do not place directly in the pouch.

I agree to follow the 'Instructions for Use' of the kit and accept that failing to do so may impair the accuracy of the results returned.

I acknowledge that Blue Genes holds no responsibility for the accuracy of results if I fail to adhere to the provided instructions for use.

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We're almost done

Complete the process by accepting the terms of agreement.

By checking this box, I understand that the sample I provide will be processed for the purposes of providing Testing Services as set out in the Terms & Conditions and as described in the Privacy Policy. I can withdraw my consent at any time; however, if I choose to do so, my access to and use of the Testing Services will be discontinued.

I have read and agree to the Blue Genes HIPAA policy.

By checking this box, I understand that Blue Genes will be collecting my personal data.

I consent to the utilization of my sample to contribute to research in the form of completely anonymous research or statistical data.

I agree to receive sms texts from BlueGenes.com view terms

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Congrats!

IMPORTANT

Welcome to

Please provide your full name.

For your own safety, use a strong password.

Please provide your email and phone number for important updates.

We need to know more about you.

Sex at birth

Date of birth

Before we continue

Do you already have a kit?

Where should we ship your test kit?

Did you receive a code for your organization or a discount code? Enter it below.

Are you taking any medication? Please add them below.

Your must follow our sample collection tips to ensure a successful collection for your test. Please check off each box after the step has been completed.

Complete the process by accepting the terms of agreement.

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