Paternity Test Order Form


Use this form to initiate a Legal Paternity Test ($100) or to order a Paternity Test Kit ($25) for anonymous in home testing. Results available within two days

Please provide the following contact information.  This information will be used for further correspondence concerning testing arrangements for issuing the final Certificate of Analysis. 

Issues concerning Confidentiality please review our Privacy Policy 

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

Select Test Options or Call Toll Free 877-451-GENE (4363):

Paternity Test Kit (Mothers must participate in anonymous testing)

$25.00
Legal Collection & Verification (Necessary for legal cases)

$100.00

DNA Analysis 

$195.00

Low Price Guarantee Total from Verification Sheet

Example Scenarios:

Both the Anonymous Paternity & Legal Tests are completed within two days from receipt of specimens.  Both test methods are guaranteed to exclude the alleged father with 100% certainty OR determine a 99.9% or greater probability of paternity.

New York residents are prohibited from ordering paternity tests directly from a laboratory.  Please consult with your physician or State authorities for issues regarding relatedness testing within the State of New York.


Names as they should appear on the Certificate of Analysis

Alleged Father:

Name

Child:

Name
Date of birth
Sex Male Female

Mother:

Name

Payment 
Credit / Debit  Card
Credit card type
Cardholder name
Card number
Expiration date
Or
Chexpedite 
Account holder's name
Bank's name
Authorized debit amount 
Check number
Routing number
Account number

SHIPPING (for Mail Out Kit if different than the Contact Information)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

 

Copyright 2010 by Genetic Technologies, Inc.
Last revised: 2.13.2010

 

 

 

 

Low Price Verification 


Please use this form to submit the matching price request.  All qualifying requests are immediately accepted.

Please provide the following contact information of the Accredited Laboratory offering a lower price.

Laboratory's Name
Toll Free Number
E-mail
URL
 
Does this laboratory include collection fees in their quote? Yes No
Is this laboratory Accredited? Yes No
Does this laboratory confirm exclusions by repeat analysis? Yes No
Does this laboratory offer standard two day results? Yes No
Does this laboratory analyze 16 or more DNA systems as a standard test? Yes No
Does this laboratory provide all legal documents and affidavits at no charge? Yes No

Please submit the quoted price:

Back to the Order Form  


Copyright 2010 Genetic Technologies, Inc. All rights reserved.
Revised: 2.13.2010