Contact Us

Connect with us today

Australia Headquarters

Suite 7, Level 1, 321 Chapel St
Prahran VIC 3181 Australia
T: +61 3 8412 7000

GeneType USA

1300 Baxter Street #255
Charlotte, NC 28204
T: 704 926 5700 or E: customersupport@genetype.us

EasyDNA

https://www.easy-dna.com/contact-us/worldwide-offices/

AffinityDNA

Worldwide Locations

Ready to see how GeneType can work for you?

Fill out the form to schedule a consultation with one of our team.

First Name*

Last Name*

Email*

Phone*

Company/Clinic Name*

Region*

Are you a/an?*

What segment best represents your enterprise?*

Type of provider*

What do you want to do?*

Address*

City*

State*

Zip/Post Code*

Fax Number

Main Office Contact Name* (This person will be the designated account holder for your geneType physician portal where you order tests and receive results)

Main Office Contact Email*

Ordering Licensed Provider Name* (GeneType can only be ordered by a healthcare provider)

NPI#*

Ordering Licensed Provider Email* (If the provider wants to be notified of report delivery, we need their email)

What type of office implementation process are you interested in?*
I have a cash-pay practice and I am interested in wholesale pricing options to incorporate into my offeringI don’t want to deal with billing and I am interested in geneType billing my patient directly (self pay)

How do you want to offer geneType, through telehealth or in office visits?*
Interested in having geneType drop shipping to my patient once I submit the orderInterested in having kits in office on consignment to use during consultations

I’d prefer to be contacted by:

I’d prefer to be contacted during:

I’d like to talk to:

What do you want to do?*
I want to order a test through a telehealth providerI want more information to talk to my doctorQuestions about billingOther

Preferred Clinic* (If you don’t have a clinic, please write "N/A")

Comments

GeneType is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
I agree to receive other communications from GeneType

In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox below.
I agree to allow GeneType to store and process my personal data*

You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.

For consultants ONLY:
Consultant Name:

Contact Us

Connect with us today

Australia Headquarters

GeneType USA

EasyDNA

AffinityDNA

Investor Contact

Press/Media Contact

General Sales Inquiries

Ready to see how GeneType can work for you?

Thanks for your Order!