None of the forms on the Berries Health and Genetics website are saved or recorded in any format. These forms are designed for you to download, fill out on your computer, and print. They are not submitted online and will not be stored or retained by our system once closed.

Comprehensive Pharmacogenetics Tests Request Form

berries health genetic test request

The Berries Test Request form is designed for you to download, complete on your personal computer, and print for submission to Berries Genetic Lab via the paper copy or a HIPAA-compliant electronic route. Please be aware that this form does not save any entered information after it is closed unless you manually choose to save it on your computer.

To protect your privacy, avoid filling out this form on public or unsecured computers, as all details entered will be lost once the form is closed.

Click to download Test Request form

Diagnostic Genetics Tests Request Form

berries health genetic test diagnostic

The Berries Test Request form is designed for you to download, complete on your personal computer, and print for submission to Berries Genetic Lab via the paper copy or a HIPAA-compliant electronic route. Please be aware that this form does not save any entered information after it is closed unless you manually choose to save it on your computer.

To protect your privacy, avoid filling out this form on public or unsecured computers, as all details entered will be lost once the form is closed.

Click to download Test Request form

Consent Form

berries health consent form

You can download the fillable consent form and fill it out on your personal computer. You can then print and submit it to Berries Genetic Lab either as a paper copy or through a HIPAA-compliant electronic method. Please note that the form does not automatically save any information after closing; you must manually save it on your device.

For your privacy protection, avoid using public or unsecured computers to fill out this form, as all entered details will be erased upon closing.

Click to download Consent form

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