Website Survey

Step 1: Tell us about yourself

Already signed up?

If you have already signed up and are looking to order additional kits, please log in to your account to place an order.

Are you outside the United States?

To order for an international clinic, please contact us at support@counsyl.com.

Want to talk before ordering?

No problem, fill out this contact form and we will get in touch with you.

Step 2: Tell us about the providers

Don't know your physicians' NPI?

You can give us this information at any point. However, we will need an NPI to process patient samples.

Add Another

Step 3: Tell us about your clinic

Clinic Information

Mailing Address

Step 4: Request kits

Sample type

We will ship a set of collection kits to your clinic at no cost. A Counsyl representative will follow up with you to answer any questions you may have about the collection process.

Step 5: Review information

Name
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Phone
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Fax
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Email
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Position
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Address
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,
NPIs
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Sample type
Bloodedit
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