DNA Intake & Consent

First Name

Last Name

Date of birth

Gender *

Female

Male

Other

Address

Street Address

City

State

Country

Postal code

Email *

Phone *

Allergy information

Latex

Alcohol

Agree to Terms and Conditions

I understand that all test results from EverNine Diagnostics will be sent directly to me by the method I choose below. It is my responsibility to consult with my own doctor for medical interpretation, analysis, or explanation of these results. EverNine Diagnostics and its physicians will not interpret or provide medical advice about my test results.

I release EverNine Diagnostics, its staff, owners, and partners from any claims related to test results, including delays, errors, or results not received.

Results and interpretation terms and conditions *

I will not seek reimbursement from Medicare, Medicaid, TRICARE, or any other government payer. I am personally responsible for all fees; all sales are final with no refunds or chargebacks.

Payment terms and conditions *

Tests are performed at my request. EverNine Diagnostics collects specimens; a certified third-party lab performs the analysis. Results may be disclosed to me, my physician, or another health professional I designate by written consent.

Testing process terms and conditions *

I confirm that I lawfully possess and may submit these genetic samples for DNA testing with EverNine Diagnostics and that all information I’ve provided is accurate.

Results will be sent only to me unless otherwise designated by written consent.

IF testing is for personal (peace of mind) information only, results are not admissible in court.

I release EverNine Diagnostics and its affiliates from any liability arising from the results or their absence.

DNA Test Acknowledgement and Consent *

Preferred method of receiving results *

E-Mail

Pick Up

Siblingship Legal DNA Test

The Siblingship DNA Test helps determine whether two individuals are full siblings, half siblings, or unrelated. By comparing DNA samples from the siblings in question, and ideally including a shared biological parent or additional siblings, this test provides the strongest results.

$459

Signature *

Clear