A clinician can prescribe the MindX One Blood Testing and SRxPrevent Testing. Please fill out the prescription forms below and send them to info@mindxsciences.com.

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

Download Prescription Form

I would like to prescribe SRxPrevent™ for my patient(s):

Download Prescription Form

Clinician Info

Address Info

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