Kit Order Form

American Association of Kidney Patients (AAKP) has partnered with Emory University to provide complimentary genetic testing for individuals at-risk and families affected by Fabry Disease. AAKP and Emory are able to provide this free service and Fabry disease education thanks to contributions from Sanofi Genzyme* and Amicus* – companies known for their expertise and commitment in the area of rare genetic diseases.

Genetic testing (either full gene sequencing &/or targeted family testing) for Fabry is offered through PreventionGenetics laboratory.
Enzyme testing for Fabry is offered through Greenwood Genetics Center.
You can request kits for either of these testing needs on this site. If you need to order biomarker testing, contact fabry.testing@emory.edu.

Kit Selection

My patient needs: *

A Genetic Testing Clinical Testing Blood Kit

A Genetic Testing Clinical Testing Saliva Kit

An Enzyme Clinical Testing Blood Kit

Both a Genetic Testing Blood Kit and an Enzyme Testing Blood Kit

Both a Genetic Testing Saliva Kit and an Enzyme Testing Blood Kit

Kit requests may take up to 1 week for delivery

Contact and Shipping Information

* - Denotes a required field. We can accept a P.O. Box address only for one or two kit orders.

Contact Info

First Name: * E-mail: *

Last Name: * Phone: *

Shipping Info

Institution:

Street Address: * City: * Zip Code: *

Address 2: State/Province: Country: *

Comments:

Return Shipping Method

PROVIDER CONSENT *

Kit requests for this project must be requested by the ordering Healthcare Provider or their representative.

By checking this box, you, the Healthcare Provider, attest that you have obtained informed consent from the patient and authorize PreventionGenetics and/or Greenwood Genetic Center to share your contact information with Emory University.