Online Application

Use the form below to submit an order, or download a printable application you can fill out and mail/fax to us.

* Required fields are marked with an asterisk (*).

Account Information

First Name:*
Last Name:*
Address:*
City:*
State / Province :*

New York Residents:
Please call 1.877.873.5465 to order a paternity test. The NY State Department of Health has specific requirements that our consultants will discuss with you prior to scheduling a test.

Zip / Postal Code :*
Country:*

International Clients
Please call 1.877.873.5465 if in the US or +1-336-855-6170 if outside the US and complete the on-line application and our Immigration Testing Form to order your testing. If you are a US resident initiating testing involving non-United States residents, you may use this order form as well.

Primary Telephone Number: * Area/Country Code Phone
Secondary Telephone Number:
E-mail:

Where To Send Results

Mail Original Report To:
Check box if same as Account name and address

Name: *
Address: *
City: *
State / Province: *
Zip / Postal Code: *
Country: *

Mail A Copy To: (optional)
Name:
Address:
City:
State / Province:
Zip / Postal Code:
Country:

DNA Testing Method

(choose one below)

Standard Legal
Standard Paternity Test: [mother, child, alleged father] $380.00, $150 each additional person
Two Party Case: [child and one alleged father] $380.00, $150 each additional person

Home Self Collection:
Home Self-Collection [mother, child, alleged father] $240.00, $150 each additional person
Two Party Home Self Collection [child and one alleged parent] $240.00, $150 each additional person

Deceased Paternity / Family Study
Paternity Deceased Father [one child, one mother and one Unusual Sample of deceased father]
$650.00, $150 each additional person
Family Study [one child, one mother, mother of alleged father, father of alleged father]
$650.00, $150 each additional person
Family Study No Mother [one child, mother of alleged father, father of alleged father]
$750.00, $150 each additional person

Siblingship Studies
Identical Twin Study: [twins] $450.00
Siblingship Studies: [2 siblings and 1 shared parent] $650.00
Siblingship Studies: [2 siblings and NO shared parent] $750.00

Prenatal
Prenatal: [Amino or CVS Sample from mother, child and alleged father] $470.00

Unusual Samples Please Call for Price Quote
One Typical Unusual Sample: [Blood Stain, Fingernail Clippings 10, Ear wax on Swab, Toothbrush, Hair 
10 Strands with roots attached, Umbilical cord, Note: This DNA test can be done with or without the mother
 although there is a stronger level of evidence if the mother is tested - Starting @ $525.00

Non-Typical Unusual Sample: Please call for list of samples from mother or child or alleged father. $750.00
Infidelity Testing For Viability: [1 Testing Sample only] $175.00, $425 for additional comparison sample

Immigration Testing
Immigration Testing: [1 parent, child] $580.00, $200 each additional person

Maternity Testing
Maternity Testing: [1 mother, 1 child] $380.00, $150 each additional child

Adoption Testing
Adoption Testing: [mother, child, alleged father(s)] $380.00, $150 each additional person

 

Special Comments

Please enter any special comments about this testing order you may have: