Iverson Genetics - Order Online Form

Welcome to the Iverson Order Online page. Below you'll find the sample collection test kits which are available for ordering directly from your computer, 24 hours a day. Please note: Only registered healthcare providers may order kits.

Sample collection kits are shipped to your desired location OVERNIGHT FREE OF CHARGE.

For those who are not healthcare providers, but would like to use one of our diagnostic testing kits, please have your physician or healthcare provider contact us directly at 425.318.1332 or info@iversongenetics.com with questions.

STEP 1 - ENTER CUSTOMER INFORMATION

Please select ONE OPTION from the following:

* indicates a required field

Option 1

Existing Account Holders

Practice/Hospital Name*

Physician/Medical Contact Name*

Email *

Phone *

Option 2

New Account

One of our Account
Reps will contact you
with additional steps.

Practice/Hospital Name*

Location: Primary Satellite

First Name *

Last Name *

Email * (for results)

National Provider Identifier (NPI) (If PA prvide NPI# for physician)*

Overnight Shipping Address Line 1 *

Overnight Shipping Address Line 2

City *

State *

Zip *

Phone *

Hippa Fax *

Insurance Coordinator

Insurance Phone

Insurance Email

Technical Contact

Technical Phone

Technical Email

STEP 2 - ENTER DESIRED QUANTITIES

Available Test Kits	QTY
Warfarin Dosing Panel (info)
High Risk HPV Panel (info)
Thrombophilia Panel (info)
MTHFR Panel (info)
Tamoxifen Responsiveness Panel (info)

STEP 3 - SUBMIT YOUR ORDER

Once you have reviewed the details of your order, click the button to the left to submit. You will receive a confirmation email and one of our Customer Care representatives will contact you promptly.