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At-Home Testing

Hereditary Diseases

Who should consider getting tested for genetic health conditions?

– People who have family members previously diagnosed with genetic conditions.
– Someone who is pregnant or planning a family.
– People who have a personal history of a genetic condition.
– Someone interested in learning about their chance of having or developing hereditary diseases.

AT-HOME GENETIC TESTING

How It Works

At Oxy-Gen Laboratory, we offer two payment methods for our Genetic Testing. A self-pay rate and/or payment through insurance is available.

If you would like to pay through insurance; once you have been approved through one of our genetic counselors for your desired test we will contact you with your coverage to determine how you would like to proceed.

STEPS FOR ORDERING A GENETIC TEST

Instructions

IMPORTANT: Please note the step process is only applicable for those who would like to get a genetic test preformed. If you are ordering any other test that is not genetic you may skip the steps and purchase the kit directly. (No need for a genetic counselor)

STEP ONE

Fill out the simple patient intake form below by entering your information, then click submit.

STEP TWO

After submission, you will be redirected to our partner to request a test online by scheduling an appointment with a genetic counselor.

STEP THREE

Order a test kit from our shop and provide a saliva sample using the kit provided, after simply attach return label and send back.

STEP FOUR

Once your results are available, you may contact your doctor or the genetic counselor for any questions or concerns.

DISCLAIMER: It is important to note that we require every patient to be pre-approved for their desired test, this pre-approval comes from scheduling of your appointment with our genetic counselors

PATIENT INFORMATION

Patient Intake Form

(Genetic Testing Only)

Please note: This section is only for those who would like genetic testing performed, if you are ordering a test that is not genetic you may simply order the test below. Before getting started please enter your information below, once you finish filling out the form Oxy-Gen Laboratory will schedule your appointment with a genetic counselor and we’ll reach out with confirmation.

Click the Patient Intake Form button below to get started.

Patient Intake Form

Genetic Counseling Information

Please enter the information below to assist with scheduling your genetic counseling session.

The information in this patient intake form is strictly for diagnosis purposes only. Oxy-Gen Laboratory does not sell or misuse any of the following information, none of this data is used for research purposes.

Which genetic test are you considering?

What day(s) and timeframe is ideal for your genetic counselor session?

Primary or ordering physician (If none, please enter N/A)

Physician's clinic name (If none, please enter N/A)

Personal Information

Please enter your personal information below.

First Name

Last Name

Date of Birth

Gender Assigned at Birth

Race

Phone Number

Country

Home Address

Family & Personal Medical History

Genetic testing requires family and personal medical history in order to determine necessity of testing, please enter your family medical history below and answer to the best of your ability.

How many family members do you have with a history of genetic health issues?

Personal Medical History

If you have ever had a history of genetic medical issues, please enter the information below. If not please skip this section.

Diagnosis

Age Of Onset / Diagnosis

Symptoms

List Of Current Medications

Additional Medical Comments (If Applicable)

Family Member #1

If family member one has any genetic health issues, please enter the information below. If not please skip this section.

Family Member Name

Race

Gender Assigned At Birth

Diagnosis

Age Of Onset / Diagnosis

Symptoms

Additional Medical Comments (If Applicable)

Family Member #2

If family member two has any genetic health issues, please enter the information below. If not please skip this section.

Family Member Name

Race

Gender Assigned At Birth

Diagnosis

Age Of Onset / Diagnosis

Symptoms

Additional Medical Comments (If Applicable)

Family Member #3

If family member three has any genetic health issues, please enter the information below. If not please skip this section.

Family Member Name

Race

Gender Assigned At Birth

Diagnosis

Age Of Onset / Diagnosis

Symptoms

Additional Medical Comments (If Applicable)

Insurance Information (If applicable)

If you're choosing to pay via self-pay you can skip this section, if not please enter your insurance information below.

Primary Insurance Provider Contact Information

Primary Group #

Primary Policy #

Secondary Insurance Provider Contact Information

Secondary Group #

Secondary Policy #

Patient Referral

How did you find us? If you were not referred, please skip this section and finish the form below.

How did you hear about us?

If referred by an individual, please enter their name.

Pre-Test Consultation Payment (Optional)

To schedule your pre-test consultation and to get started with your genetic screening process, you must first pay for your pre consult.

If you haven't paid already in the storefront for a specific panel and would like the genetic counselor to determine what test you need to run, you can click the link below.

After you submit this form and make your pre-test consultation payment, we will reach out with the time and date of your over the phone consultation.

Click here to pay for your pre-test consultation

Consent Agreement (Required)

Please acknowledge all of the following consent terms below by checking each box to submit your patient intake form.

I understand I'm submitting this information to Oxy-Gen Laboratory and the laboratory will be sending all of this information to your genetic counselor to possibly assist in your diagnosis and pre / post consultation.

By checking this box I'm agreeing to be contacted by Oxy-Gen Laboratory by phone or email if need be.

By checking this box I'm acknowledging that while Oxy-Gen Laboratory maintains HIPPA compliancy, we are not responsible for issues with this information affected by a third-party consultant and/or genetic counseling company.

Patient intake form Close

PURCHASE TESTS

Shop Our Panels

Health testing has never been easier, faster, and more personalized. Browse the growing selection of tests available from Oxy-Gen Laboratory. You can view your cart or check the status of an order when you select my account below. If you have any additional questions please see our FAQ or if you’d like a list of genes screened for in each panel please see below.

Please note the following pricing is all Self-Pay this means the following rates are all cash payments. You’ll notice that all genetic tests are $199.99 this fee covers the cost of your pre-consultation with a genetic counselor (Required for genetic testing).

If you would like to pay through insurance, we will determine your coverage after you have been approved for the desired test through one of our genetic counselors.

Disclaimer: Insurance may or may not cover cost of counseling.

PANEL INFORMATION

Gene Lookup

Our gene lookup is designed to provide patients and providers with a comprehensive list with all of the genes screened in our genetic testing panels.

We understand the importance of transparency and empowering patients with knowledge about their genetic health. Our gene lookup table serves as a valuable resource to help you understand which genes are analyzed in each of our panels.

LEARN MORE

At-Home Testing FAQ

Answers for patients and individuals who have questions about how to pay for genetic testing, including insurance options.

At-Home Testing

Hereditary Diseases

AT-HOME GENETIC TESTING

How It Works

STEPS FOR ORDERING A GENETIC TEST

Instructions

STEP ONE

STEP TWO

STEP THREE

STEP FOUR

PATIENT INFORMATION

Patient Intake Form

(Genetic Testing Only)

PURCHASE TESTS

Shop Our Panels

PANEL INFORMATION

Gene Lookup

LEARN MORE

At-Home Testing FAQ

Schedule an Appointment!

Quick Links

Quick Links