New User Registration

Please enter your information below to register an account with PreventionGenetics

All testing must be ordered by a qualified healthcare provider

* - Denotes a required field.

Are you a Healthcare Provider? *

Personal Information


Security Questions


Username and Password

Your username will be the same as your E-mail address.

Password must have:

  • 10 or more letters
  • At least 1 lower case letter
  • At least 1 upper case letter
  • At least 1 number
  • At least 1 symbol (Not including + or = )

*We respect your privacy. Please note that the information you provide on the above form will NOT be sold. This information will only be used to send you emails and notifications from PreventionGenetics.