X or Y Early Gender Test Electronic Consent And Waiver
Please verify that the information below is correct, then click the button below to continue.
Case Number:
First Name:
Last Name:
Email:
Phone:
First Day Of Last Menstrual Period:
Eligibility Date:
Sample Collection Date:
Baby's Estimated Due Date:
Fingerprick sample was taken in a clean environment with no males present, prior to 9 weeks pregnancy.
