DNA Banking
Address Change Form

    Use this form if you have already banked your DNA with PreventionGenetics and would like to notify us of a change of address or name. 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 Address Change

Microsoft Word: DNA Address Change