Order MindX Products

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For Consumers/Patients

Life x Mind App

For Clinicians

Clinician Info

First Name*

Last Name*

Credentials*

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Practice/Organization Name*

NPI#*

Specialty*

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How did you hear about us?*

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Address Info

Address 1

Address 2

City

State

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Postal Code

Email Address*

Email Address (confirm)*

Phone Number*

FAX Number

Order

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

Number of MindX Blood Test Kits

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Number of SXPrevent Digital Tests

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Please send me product updates and information about MindX Sciences.

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