AABB Accredited Laboratory

1Contact Info

2Select a Test

3Test Participants

4Report Info

5Complete Your Order

1. Contact Information
A) Requester's/Petitioner's Name*
First Last
NOTE: All communication regarding this case will only take part with the Requester/Petitioner of this test at the phone numbers and email address provided below. Once this form is received, IntelliGenetics will notify the requester/petitioner of the sample collection appointment(s) for the individuals to be tested.
Address*
Street Address Street Address (Line 2) City State / Province / Region ZIP / Postal Code Country

NEW YORK RESIDENTS: For residents of the state of New York, IntelliGenetics must receive a copy of an Officially Interested Third Party Request (e.g. letter from an US Government Agency (USCIS, US Embassy, US Passport Agency, IRS, etc), Court-Order, Attorney's letter, Physician's Order), before the lab may begin processing your DNA test results. One of our Customer Care Specialists will contact you to get a copy of the document.
----- Cell Phone*
Home Phone (landline)--Optional
----- Email*
B) Second Contact--Optional (gives us permission to speak with them about your case in the event we cannot reach you)
Name, Phone #, Email. Indique relationship to the Petitioner/Requester (e.g. attorney, relative).
C) Contact for the Beneficiary(ies) living abroad.
Name and phone # of the contact for the persons tested abroad (must be 18 or older). For residents in Vietnam only, the residential address is also required.

4. Reporting Information
Authorized to receive test results
Once testing is completed and payment is received in full, the report should be sent to (a copy will be emailed to the Requester's address):

5. Payment Information
A) Order summary
Parentage--International
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA. US Embassy's collection fee (or any International collection fee) is not included and must be paid directly to the collector at the point of collection.
Price:
Parentage--All in USA
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA.
Price:
Sibling--International
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA. US Embassy's collection fee (or any International collection fee) is not included and must be paid directly to the collector at the point of collection.
Price:
Sibling with a common parent--International
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA. US Embassy's collection fee (or any International collection fee) is not included and must be paid directly to the collector at the point of collection.
Price:
Sibling--All in USA
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA.
Price:
Sibling with a common parent--All in USA
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA.
Price:
Grandparentage--International
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA. US Embassy's collection fee (or any International collection fee) is not included and must be paid directly to the collector at the point of collection.
Price:
Grandparentage--All in USA
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA.
Price:
Avuncular(Uncle)--International
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA. US Embassy's collection fee (or any International collection fee) is not included and must be paid directly to the collector at the point of collection.
Price:
Avuncular(Uncle)--All in USA
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA.
Price:
Materteral (Aunt)--International
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA. US Embassy's collection fee (or any International collection fee) is not included and must be paid directly to the collector at the point of collection.
Price:
Materteral (Aunt)--All in USA
The cost is based on a flat-fee pricing structure. This fee covers the DNA analysis for 2 people, all standard shipping, administrative costs and specimen collection in the USA.
Price:
Test Participant 3
Price:
Test Participant 4
Price:
Test Participant 5
The 5th participant tests for free
Price:
Test Participant 5
The 5th participant tests for free
Price:
Test Participant 6
Price:
Test Participant 7
Price:
Test Participant 8
Price:
Test Participant 9
Price:
Test Participant 10
The 10th participant tests for free.
Price:
Test Participant 10
The 10th participant tests for free.
Price:
Test Participant 11
Price:
Test Participant 12
Price:
B) Optional services
Add Additional International Collection Site test
For International DNA collection services (e.g. at two US Embassies/Consulates): The prices listed above assumes that all parties living abroad are going to have their sample collected during the same appointment. When collected separately (e.g. at a different day or at a different location), an additional fee applies to cover the cost incurred of collecting them separately. The additional fee is $125.00 per additional location or per separate appointment.
Price: $125.00
Add Additional Test Reports Quantity
The report to the Requesting Agency is included in the cost of your test. A hard copy to the Petitioner/Requester is also included when requested and after confirmation of the mailing address. But you can order additional copies of the report for $15.00 a piece.
Price: $15.00
Select Processing Time
The standard turnaround time for the lab testing process is 1-3 business days. Day 1 is the day after receipt of the final sample(s) to be tested. Cases involving kinship studies may require additional time to complete. Expedited services for same-day results and release of the reports are available only on Parentage DNA Tests for an additional fee of $360.00. Overnight shipping options for domestic delivery only are also available.
C) Secure Checkout options
Pay in Full or Deposit*
- Pay in Full
- Pay Deposit of $200.00
- Proceed to "CHECKOUT" to submit this form to IntelliGenetics.
Hidden
Pay in Full
Card processing system SQUARE is used to complete your transaction. Two payment options are available: i) Credit or ii) Debit card.
Hidden
Pay Deposit of $200.00*
You will be re-directed to Square to complete your transaction.
Order Total:
$0.00
Proceed to “CHECKOUT” to submit this form to IntelliGenetics. You will be re-directed to Square for secure online payment.
Secure Card Payment to IntelliGenetics

Payment to IntelliGenetics

Enter credit/debit card information, then, proceed to “CHECKOUT” to submit this form and the payment to IntelliGenetics.

Cardholder Name

Card Details

AABB Accredited Laboratory

1. Contact Information

2. Select a Test

3. Test Participants

4. Reporting Information

5. Payment Information

A) Order summary

B) Optional services

C) Secure Checkout options

Proceed to “CHECKOUT” to submit this form to IntelliGenetics. You will be re-directed to Square for secure online payment.

Secure Card Payment to IntelliGenetics