DNA Banking

Reasons for DNA Banking

DNA Banking Agreement

Depositor Information Form

DNA Withdrawal Form

Change of Representative Form

DNA Banking Process

1. The DNA Banking process begins with your signature on the DNA Banking Agreement. The Banking Agreement is freely available from the PreventionGenetics web site. If required, we will also mail a copy to you. You need to sign a copy of the Agreement and mail or fax it to PreventionGenetics (see address at end of Agreement). You will need to provide the name and address of a Representative who will be responsible for the DNA sample if you become incapacitated and after your death. A parent or legal guardian must sign for a child Depositor under the age of majority (age of majority is based on the law in the state of the child’s residence). An agent with the power of attorney, or a guardian must sign for an adult Depositor who is incapable of providing consent.

2. Next, you must arrange for payment. Current fees for DNA Banking are $98 for a single individual, $88 per person for 2-4 family members, and $78 per person for 5 or more family members. There are no additional fees, such as annual storage fees. Payment may be made by enclosing a check payable to PreventionGenetics with your signed Agreement or by calling to provide a valid credit card number.

3. Third, we strongly encourage you to complete the online DNA Banking Depositor Information Form available from the PreventionGenetics web site. Through this Form, you will provide information about your family tree. This information, although not absolutely required, will make it easier and less expensive to perform DNA testing on family members. All of this information will be kept strictly confidential. Paper copies of the Form will be sent to those who do not have access online.

4. After we receive a signed copy of the Banking Agreement, PreventionGenetics will send you a copy of the ratified Agreement along with a collection kit. The signed copy of the Agreement should be safely stored among your important papers. The Agreement will contain a Deposit Number which is important in making withdrawals. The kit will contain two blood collection tubes, shipping containers and full instructions for completing the collection. It also includes a prepaid FedEx return envelope for your convenience in returning the kit to PreventionGenetics.

5. The Depositor will need to go to your local doctor’s office or to another qualified phlebotomist to have blood drawn. Five to twenty milliliters of blood (approximately one to four teaspoons) will be drawn. There might be some bruising and the discomfort of a needle stick. PreventionGenetics is not liable for any complications that may arise from the blood drawing. The phlebotomist will ship the blood to the PreventionGenetics lab. You will likely be charged for the blood drawing. This cost is your responsibility.

6. From the blood samples, PreventionGenetics lab personnel will extract DNA, measure the DNA amount, and place the DNA into secure freezer systems. The DNA will be stored in at least three freezers at two or more separate locations. In the rare event that the extraction fails, PreventionGenetics will send you another collection kit and will repeat the extraction without any additional charge.