DNA Banking
Withdrawal

    Use this form if you have already banked your DNA with PreventionGenetics and would like to withdraw a portion of this DNA. Please write legibly. This form can be downloaded in one of the following two formats. When complete, please mail or fax this form to PreventionGenetics at the address shown at the bottom of the form.

Acrobat Reader: DNA Banking Withdrawal

Microsoft Word: DNA Banking Withdrawal