Prevention Genetics

Mirum - Movement Disorder Sponsored Testing Program

Kit order form

Clinical testing kits are provided as a courtesy.
There is no charge when ordering kits.
Kits will include pre-paid return postage.
Kit requests may take up to 1 week for delivery.

Clinical test kit selection

Clinical testing kit - BloodClinical testing kit - Buccal

If your patient has had a bone marrow transplant or recent blood transfusion, the above kit types may not be recommended. Please contact us for further details, referencing SP316.

Blood specimens are always preferred. However, buccal collection kits are also available.

Contact and shipping information

Provider Information

First Name

Last Name

Institution (Optional)

Email

Phone number

Shipping Information

Street Address

City

State/Province

Zip code

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Comments

Return shipping method