Order - MindX Sciences

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An ordering clinician must prescribe the MindX One Blood Testing and SXPrevent Testing. Please fill out the order forms below and send them to info@mindxsciences.com to continue the ordering process.

I would like to order MindX One™ Blood Testing for my patient(s):

Download Order Form

I would like to order SXPrevent™ for my patient(s):

Download Order Form

Clinician Info

First Name*

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Last Name*

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Credentials*

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Specialty*

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Phone Number*

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Email Address

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NPI#

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FAX Number

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How did you hear about us?

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Address Info

Practice/Organization Name

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Address 1

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Address 2

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City

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State

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Postal Code

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FAX Number

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Please send me product updates and information about MindX Sciences.

I consent to MindX Sciences storing the submitted data and contacting me.

Please note: For MindX One™ Blood Tests, ordering clinicians must be able to order laboratory tests and prescribe medications. SXPrevent may be ordered by licensed therapists and counselors.