X or Y Prefill DNA Consent and Liability Release

X or Y Early Gender Test Electronic Consent Form

(Click here to view full kit instructions)

Before using the kit, you must wait 9 weeks after the first day of your last menstrual period. Your test cannot be processed otherwise. Click here to check your eligibility date.

Your result and all communications regarding your sample will be sent to your email address. You will receive an email confirmation as soon as your sample arrives at the laboratory. Please make sure to add “contact@abcgenetests.com” to your safe senders list to ensure you receive all email communications from ABC Gene Tests, Inc.

Tester First Name

Tester Last Name

Tester Email

Your result will be emailed to this address, unless an alternate result email is specified below

Confirm Tester Email

Tester Phone Number

For urgent contact regarding your sample

Alternate Email For Result (Optional)

If entered, result will be delivered to this email only

Confirm Alternate Email For Result (Only Required If Alternate Email Used)

Double Check Alternate Email - Incorrect Address Will Delay Result Notification!

Case Number

Can be found on the front of kit box and instruction manual

First Day Of Last Menstrual Period

Sample Collection Date

Baby's Estimated Due Date (BDD)

Were Any Males Present During Sample Collection?

Yes No Test must be taken in a male-free environment. A waiver is available if you answer "Yes."

Did You Collect The Sample In A Clean Environment?

Yes No Test must be taken in a clean environment