Name

First Name

Last Name

Birth Date

MM

DD

YYYY

Gender

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reason for testing

Please list all Supplements and Medications in this format: NAME - DOSE - FREQUENCY

Thank you and congratulations!

Now that you’ve submitted your form, your Lab Kit will be shipped within 24-48 hours. Your kit should arrive to your provided address within 2-5 business days.

Payment for your MRT will be made directly to the lab with a form included in your kit. Payment will not be deducted by the lab until your test is complete.

I know you’re excited! While you are waiting to receive your kit in the mail, please visit this website to locate a draw location for your blood sample: https://www.nowleap.com/draw-locator/

For more information on the MRT click here.