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Ordering MindX Products

Clinician Info

Please provide your first name.
Please provide your last name.
Please select your credentials.
Please provide your practice or organization name.
Please provide your 10 digit NPI Number.
Please select your specialty.
Please tell us how you heard about our blood test.

Address Info

Please provide your street address.
Please provide your street address.
Please enter your city.
Please select your US state.
Please enter your ZIP code.
Please provide a valid email address.
Please provide a valid email address.
Please provide a valid phone number.
Please provide a valid FAX number.

Order

Please note: ordering clinicians must be able to order diagnostic laboratory testing to receive our testing kits.

Please select the number of blood test kits.

Any questions about the ordering process, please email info@mindxsciences.com.