X or Y Consent – Waiver Confirmation

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.


If all the information above is correct, continue to the Waiver Page by clicking the button below. Note that signing this waiver will void our moneyback guarantee.

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