Patient Referral Form

Some physicians choose to refer patients to DNA Direct for genetic testing services. Why? DNA Direct provides quick, convenient, and comprehensive testing using only CLIA -certified labs. At the same time, your patients remain entirely under your care.

We know that you are busy. Working with DNA Direct is a reliable and efficient way to maximize patient care. Our board-certified genetics staff is available to answer any questions – for you and your patients.

Referring a patient to DNA Direct is easy. Just download our referral form, complete it and fax to 806-993-6708, Attention: Clinical Services.


DNA Direct Referral Form

How It Works

  1. Print and complete the DNA Direct Referral Form, and fax it to 806-993-6708, Attention: Clinical Services. (Make sure your patient signs the form and checks the box authorizing DNA Direct to release test results to you.)

  2. DNA Direct will send a cheek-swab collection kit directly to your patient and will coordinate all testing services. As part of the testing process, your patient is asked to create a user account with DNA Direct and answer a brief clinical questionnaire.

  3. When testing is complete, as the referring physician you receive a copy of the test results and a Physician Letter, complete with test result interpretation, current medical guidelines, and scientific references. Your patient can then log on to their secure, password-protected account to learn more about their test results and receive updates on clinically relevant information.

  4. You and your patients have ongoing access to support services from DNA Direct's board-certified genetics staff by phone (toll-free at 1-877-646-0222, M-F, 9-5 Pacific) and email (expert@dnadirect.com).
this page last updated: April 13, 2007