Buy Kit | ImmunoProfile Customer Portal

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One Person per account and each account must have a unique email. Two or more people cannot share one email.
Only the Patient's name will appear on the Test Result Report.
Physician prescription provided for each Test Kit purchased.
Test Kits can only be purchased one at a time

Buy Kit

Shipping Info

Shipping First Name

Shipping Last Name

Shipping Address 1

Shipping Address 2

Shipping City

Shipping State

Shipping Zip

Billing Info

Same as Shipping?

Billing First Name

Billing Last Name

Billing Address 1

Billing Address 2

Billing City

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Billing Zip

Phone

Email

Confirm Email

Date of Birth

Sex Assigned at Birth

Employer Healthcare Institution (Optional)

School (Optional)

Password must contain minimum 4 characters and must contain both numeric and alphabetic characters

Password

Confirm Password

Provide a password to create an account to track your order and securely receive your test results

Discount Code

Price: $229.00

Tax:

Total: $229.00

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