Address
Home Address*
Apartment, Suite, Office
City*
State*
Zip*
same address
Use home address as shipping address.
Shipping Address*
Apartment, Suite, Office
City*
State*
Zip*
Passport Information (for Travel)
using for travel
Are you using this for travel? (Check if yes)
Passport Number

Not all countries require a passport number but providing this will make it easier for you when boarding your flight.
Outgoing Shipping*
For faster delivery, please upgrade your outgoing shipping
Return Shipping*
For faster returns, please upgrade your returns shipping
Note: Orders placed after 4PM EST. will be shipped the next day.
Date of Birth*
This information is needed for your test result PDF.
Gender*
This information is needed for your test result PDF.
Parent or guardian
(if below 18 years of age)
First Name
Last Name
How did you hear about us?*
Terms of Use and Privacy Policy*
I have read and accept Fast Lab Tech’s Terms of Use and Privacy Policy*

Review Order
Please review your information below and ensure all information is correct before placing your order.

Important: The person named below must be the person who is taking the test
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Outgoing Shipping
For faster delivery, please upgrade your outgoing shipping
Returns Shipping
For faster returns, please upgrade your returns shipping
Notes:
- Orders placed after 4PM EST. will be shipped the next business day.
- The 2-Day and Overnight shipping does not include weekends and holidays.
Kit Price
Price:
Total
$0.00
Payment*
Card Details
Cardholder Name
same billing address
Use home address as billing address.
Billing Address*
Apartment, Suite, Office
City*
State*
Zip*

Patient Information

Address