order-test-form

Submit Test Request

Kindly complete this form to order a Strand® genetic test for your patient at the Strand Center. We will review your request and get back to you within 24hours of contacting us.

Your Name (required)

Physician's name (required)

Designation

Department

Hospital (required)

Contact number (required)

City (required)

Your Email (required)

Preferred contact time

Select a test (required)

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