genesight.com
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urlscan Pro
35.233.151.52
Public Scan
Submitted URL: http://genesight.com/
Effective URL: https://genesight.com/
Submission: On December 02 via api from US — Scanned from DE
Effective URL: https://genesight.com/
Submission: On December 02 via api from US — Scanned from DE
Form analysis
2 forms found in the DOMGET https://genesight.com/
<form class="w-form-row for_text" action="https://genesight.com/" method="get">
<div class="w-form-row-field"><input type="text" name="s" id="us_form_search_s" placeholder="Search" aria-label="Search" value=""></div><a class="w-search-close" aria-label="Close" href="javascript:void(0);"></a>
</form>
POST https://myriad.tfaforms.net/api_v2/rest/workflow/processor
<form method="post" action="https://myriad.tfaforms.net/api_v2/rest/workflow/processor" class="hintsBelow labelsAbove" id="4872920" role="form">
<div class="wfCurrentPage" id="wfPgIndex-1">
<div class="section pageSection" id="tfa_2027">
<div class="htmlSection" id="tfa_2053">
<div class="htmlContent" id="tfa_2053-HTML">
<ol data-progtrckr-steps="3" class="progtrckr">
<li id="1" class="progtrckr-done">Step 1</li>
<li id="2" class="progtrckr-todo">Step 2</li>
<li id="3" class="progtrckr-todo">Step 3</li>
</ol><br>
</div>
</div>
<div id="tfa_2032" class="section group">
<div class="htmlSection" id="tfa_2031">
<div class="htmlContent" id="tfa_2031-HTML">
<div style="text-align: center;"><b style="font-size: 22px;">Please provide us with your name</b></div>
</div>
</div>
</div>
<div class="oneField field-container-D " id="tfa_4-D">
<label id="tfa_4-L" class="label preField reqMark" for="tfa_4">I Am A...</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_4" name="tfa_4" title="I Am A..." class="required">
<option value="">Please select...</option>
<option value="tfa_5" id="tfa_5" data-conditionals="#tfa_1876,#tfa_869,#tfa_11,#tfa_12,#tfa_1873,#tfa_1993,#tfa_1893,#tfa_1874,#tfa_1875,#tfa_2039,#tfa_2051" class="">Patient</option>
<option value="tfa_6" id="tfa_6" data-conditionals="#tfa_1935,#tfa_1943,#tfa_11,#tfa_12,#tfa_1873,#tfa_1993,#tfa_2009,#tfa_1874,#tfa_1875,#tfa_2039,#tfa_2043" class="">Caregiver</option>
<option value="tfa_7" id="tfa_7" data-conditionals="#tfa_1953,#tfa_11,#tfa_12,#tfa_1873,#tfa_1889,#tfa_1890,#tfa_1980,#tfa_1981,#tfa_1993,#tfa_2035,#tfa_2043,#tfa_2060,#tfa_2066" class="">Prescribing Clinician</option>
<option value="tfa_8" id="tfa_8" data-conditionals="#tfa_11,#tfa_12,#tfa_1873,#tfa_1889,#tfa_1890,#tfa_1981,#tfa_1993,#tfa_2035,#tfa_2043,#tfa_1959,#tfa_2060" class="">Office Staff</option>
<option value="tfa_9" id="tfa_9" data-conditionals="#tfa_11,#tfa_12,#tfa_1873,#tfa_1889,#tfa_1890,#tfa_1980,#tfa_1987,#tfa_1993,#tfa_2035,#tfa_2043,#tfa_1959,#tfa_2060" class="">Non-Prescribing Clinician</option>
</select></div>
</div>
<div id="tfa_13" class="section inline group">
<div class="oneField field-container-D offstate" id="tfa_11-D">
<label id="tfa_11-L" class="label preField reqMark" for="tfa_11">First Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_11" name="tfa_11" value="" autocomplete="off" data-condition="`#tfa_5` OR `#tfa_6` OR `#tfa_7` OR `#tfa_8` OR `#tfa_9`" title="First Name" class="required"
disabled=""></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_12-D">
<label id="tfa_12-L" class="label preField reqMark" for="tfa_12">Last Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_12" name="tfa_12" value="" autocomplete="off" data-condition="`#tfa_5` OR `#tfa_6` OR `#tfa_7` OR `#tfa_8` OR `#tfa_9`" title="Last Name" class="required"
disabled=""></div>
</div>
</div>
</div>
<div id="wfPgIndex-1-buttons" class="wfPagingButtons"><input value="Continue" type="button" class="wfPageNextButton" wfpageindex_activate="2" id="wfPageNextId1" style="visibility: visible;"></div>
</div>
<div class="wfPage" id="wfPgIndex-2">
<div class="section pageSection" id="tfa_2028">
<div class="htmlSection" id="tfa_2054">
<div class="htmlContent" id="tfa_2054-HTML">
<ol data-progtrckr-steps="3" class="progtrckr">
<li id="1" class="progtrckr-done">Step 1</li>
<li id="2" class="progtrckr-done">Step 2</li>
<li id="3" class="progtrckr-todo">Step 3</li>
</ol><br>
</div>
</div>
<div id="tfa_2035" class="section group offstate" data-condition="`#tfa_7` OR `#tfa_8` OR `#tfa_9`">
<div class="htmlSection" id="tfa_2036">
<div class="htmlContent" id="tfa_2036-HTML">
<div style="text-align: center;"><b style="font-size: 22px;">Please provide contact and clinic information</b></div>
</div>
</div>
</div>
<div id="tfa_2039" class="section group offstate" data-condition="`#tfa_5` OR `#tfa_6`">
<div class="htmlSection" id="tfa_2040">
<div class="htmlContent" id="tfa_2040-HTML">
<div style="text-align: center;"><b style="font-size: 22px;">Please provide contact information</b></div>
</div>
</div>
</div>
<div class="oneField field-container-D hintsTooltip offstate" id="tfa_869-D">
<label id="tfa_869-L" class="label preField reqMark" for="tfa_869">Date of Birth (MM/DD/YYYY)</label><br>
<div class="inputWrapper">
<input aria-required="true" type="text" id="tfa_869" name="tfa_869" value="" autocomplete="off" aria-describedby="tfa_869-HH" max="-|5_Year{}" autoformat="##/##/####" data-condition="`#tfa_5`" title="Date of Birth (MM/DD/YYYY)"
class="validate-custom /^(0[1-9]|1[0-2])\/(0[1-9]|1\d|2\d|3[01])\/\d{4}$/ required" disabled=""><span class="field-hint-inactive" id="tfa_869-H"><span id="tfa_869-HH" class="hint">
<p style="font-size:11px; line-height: 100%">We are asking for Date of Birth for data verification purposes.</p>
</span><button id="tfa_869-HH-close-button" class="field-hint-close-button" type="button" tabindex="-1" aria-hidden="true" aria-label="Close"> x </button></span>
</div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1873-D">
<label id="tfa_1873-L" class="label preField reqMark" for="tfa_1873">Email</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1873" name="tfa_1873" value="" autocomplete="off" data-condition="`#tfa_5` OR `#tfa_6` OR `#tfa_7` OR `#tfa_8` OR `#tfa_9`" title="Email"
class="validate-email required" disabled=""></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1980-D">
<label id="tfa_1980-L" class="label preField " for="tfa_1980">Job Title</label><br>
<div class="inputWrapper"><input type="text" id="tfa_1980" name="tfa_1980" value="" autocomplete="off" data-condition="`#tfa_7` OR `#tfa_9`" title="Job Title" class="" disabled=""></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1874-D">
<label id="tfa_1874-L" class="label preField reqMark" for="tfa_1874">Zip Code</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1874" name="tfa_1874" value="" autocomplete="off" data-condition="`#tfa_5` OR `#tfa_6`" title="Zip Code" class="validate-custom /[0-9a-zA-Z]{5,}/g required"
disabled=""></div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_1874'] = {
selector: '*[id="tfa_1874"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_1874'] = "Please enter a valid zip code with at least 5 characters.";
}
}
</script>
</div>
<div class="oneField field-container-D offstate" id="tfa_1875-D">
<label id="tfa_1875-L" class="label preField " for="tfa_1875">Phone</label><br>
<div class="inputWrapper">
<div><input type="text" id="tfa_1875" name="tfa_1875" value="" autocomplete="off" placeholder="###-###-####" maxlength="12" autoformat="###-###-####" data-condition="`#tfa_5` OR `#tfa_6`" title="Phone" class="validate-custom"
pattern="/^(+d{1,2}s)?(?d{3})?[s.-]?d{3}[s.-]?d{4}$/" disabled="">
<div class="lengthIndicator" aria-live="assertive" style="display: none; left: 268px;">12 characters left.</div>
</div>
</div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1935-D">
<label id="tfa_1935-L" class="label preField reqMark" for="tfa_1935">Would you like to provide the patient's information?</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_1935" name="tfa_1935" data-condition="`#tfa_6`" title="Would you like to provide the patient's information?" class="required" disabled="">
<option value="">Please select...</option>
<option value="tfa_1936" id="tfa_1936" data-conditionals="#tfa_1938,#tfa_1939,#tfa_1941,#tfa_1942,#tfa_1931" class="">Yes</option>
<option value="tfa_1937" id="tfa_1937" class="">No</option>
</select></div>
</div>
<div id="tfa_1940" class="section inline group">
<div class="oneField field-container-D offstate" id="tfa_1931-D">
<label id="tfa_1931-L" class="label preField reqMark" for="tfa_1931">Relationship to Patient</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_1931" name="tfa_1931" data-condition="`#tfa_1936`" title="Relationship to Patient" class="required" disabled="">
<option value="">Please select...</option>
<option value="tfa_1969" id="tfa_1969" class="">Parent</option>
<option value="tfa_1970" id="tfa_1970" class="">Child</option>
<option value="tfa_1971" id="tfa_1971" class="">Spouse</option>
<option value="tfa_1972" id="tfa_1972" class="">Other Immediate Family Member</option>
<option value="tfa_1973" id="tfa_1973" class="">Friend</option>
<option value="tfa_1974" id="tfa_1974" class="">Other</option>
</select></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1938-D">
<label id="tfa_1938-L" class="label preField reqMark" for="tfa_1938">Patient First Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1938" name="tfa_1938" value="" autocomplete="off" data-condition="`#tfa_1936`" title="Patient First Name" class="required" disabled=""></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1939-D">
<label id="tfa_1939-L" class="label preField reqMark" for="tfa_1939">Patient Last Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1939" name="tfa_1939" value="" autocomplete="off" data-condition="`#tfa_1936`" title="Patient Last Name" class="required" disabled=""></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1941-D">
<label id="tfa_1941-L" class="label preField reqMark" for="tfa_1941">Patient Zip Code</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1941" name="tfa_1941" value="" autocomplete="off" data-condition="`#tfa_1936`" title="Patient Zip Code" class="validate-custom /[0-9a-zA-Z]{5,}/g required"
disabled=""></div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_1941'] = {
selector: '*[id="tfa_1941"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_1941'] = "Please enter a valid zip code with at least 5 characters.";
}
}
</script>
</div>
<div class="oneField field-container-D hintsTooltip offstate" id="tfa_1942-D">
<label id="tfa_1942-L" class="label preField reqMark" for="tfa_1942">Patient Date of Birth <span style="font-size: 14.4px;">(MM/DD/YYYY)</span></label><br>
<div class="inputWrapper">
<input aria-required="true" type="text" id="tfa_1942" name="tfa_1942" value="" autocomplete="off" aria-describedby="tfa_1942-HH" max="-|5_Year{}" autoformat="##/##/####" data-condition="`#tfa_1936`"
title="Patient Date of Birth (MM/DD/YYYY)" class="validate-custom /^(0[1-9]|1[0-2])\/(0[1-9]|1\d|2\d|3[01])\/(19|20)\d{2}$/ required" disabled=""><span class="field-hint-inactive" id="tfa_1942-H"><span id="tfa_1942-HH" class="hint">
<p style="font-size:11px; line-height: 100%">We are asking for Date of Birth for data verification purposes.</p>
</span><button id="tfa_1942-HH-close-button" class="field-hint-close-button" type="button" tabindex="-1" aria-hidden="true" aria-label="Close"> x </button></span>
</div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1943-D">
<label id="tfa_1943-L" class="label preField reqMark" for="tfa_1943">Are you interested in us contacting the patients' clinician about GeneSight?</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_1943" name="tfa_1943" data-condition="`#tfa_6`" title="Are you interested in us contacting the patients' clinician about GeneSight?" class="required" disabled="">
<option value="">Please select...</option>
<option value="tfa_1944" id="tfa_1944" data-conditionals="#tfa_1946,#tfa_1947,#tfa_1949,#tfa_1950,#tfa_2015,#tfa_2066" class="">Yes</option>
<option value="tfa_2065" id="tfa_2065" data-conditionals="#tfa_2063" class="">No - I don't have clinician information</option>
</select></div>
</div>
<fieldset id="tfa_2063" class="section wf-acl-hidden offstate" data-condition="`#tfa_2065`">
<div class="htmlSection" id="tfa_2064">
<div class="htmlContent" id="tfa_2064-HTML">
<p style="font-size:13px">If you do not have a clinician, we have a directory of healthcare providers who are registered to order the GeneSight test. When you complete this form, we will link you to this directory, so you will have the
option to view registered GeneSight providers in your area.</p>
</div>
</div>
</fieldset>
<div id="tfa_1948" class="section inline group">
<div class="oneField field-container-D offstate" id="tfa_1946-D">
<label id="tfa_1946-L" class="label preField reqMark" for="tfa_1946">Patient's Doctor's First Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1946" name="tfa_1946" value="" autocomplete="off" data-condition="`#tfa_1944`" title="Patient's Doctor's First Name" class="required" disabled=""></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1947-D">
<label id="tfa_1947-L" class="label preField reqMark" for="tfa_1947">Patient's Doctor's Last Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1947" name="tfa_1947" value="" autocomplete="off" data-condition="`#tfa_1944`" title="Patient's Doctor's Last Name" class="required" disabled=""></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1949-D">
<label id="tfa_1949-L" class="label preField reqMark" for="tfa_1949">Patient's Clinic Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1949" name="tfa_1949" value="" autocomplete="off" data-condition="`#tfa_1944`" title="Patient's Clinic Name" class="required" disabled=""></div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1950-D">
<label id="tfa_1950-L" class="label preField reqMark" for="tfa_1950">Patient's Clinic Zip</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1950" name="tfa_1950" value="" autocomplete="off" data-condition="`#tfa_1944`" title="Patient's Clinic Zip" class="validate-custom /[0-9a-zA-Z]{5,}/g required"
disabled=""></div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_1950'] = {
selector: '*[id="tfa_1950"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_1950'] = "Please enter a valid zip code with at least 5 characters.";
}
}
</script>
</div>
<div class="oneField field-container-D offstate" id="tfa_2015-D">
<label id="tfa_2015-L" class="label preField " for="tfa_2015">Patient's Clinic Phone</label><br>
<div class="inputWrapper">
<div><input type="text" id="tfa_2015" name="tfa_2015" value="" autocomplete="off" placeholder="###-###-####" maxlength="12" autoformat="###-###-####" data-condition="`#tfa_1944`" title="Patient's Clinic Phone" class=""
pattern="/^(+d{1,2}s)?(?d{3})?[s.-]?d{3}[s.-]?d{4}$/" disabled="">
<div class="lengthIndicator" aria-live="assertive" style="display: none; left: 268px;">12 characters left.</div>
</div>
</div>
</div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1876-D">
<label id="tfa_1876-L" class="label preField reqMark" for="tfa_1876">Do You Have Clinician Information?</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_1876" name="tfa_1876" data-condition="`#tfa_5`" title="Do You Have Clinician Information?" class="required" disabled="">
<option value="">Please select...</option>
<option value="tfa_1877" id="tfa_1877" data-conditionals="#tfa_1889,#tfa_1890,#tfa_1885,#tfa_1886,#tfa_2047,#tfa_2060,#tfa_2066" class="">Yes</option>
<option value="tfa_1878" id="tfa_1878" data-conditionals="#tfa_2024" class="">No</option>
</select></div>
</div>
<fieldset id="tfa_2024" class="section wf-acl-hidden offstate" data-condition="`#tfa_1878`">
<div class="htmlSection" id="tfa_2025">
<div class="htmlContent" id="tfa_2025-HTML">
<p style="font-size:13px">If you do not have a clinician, we have a directory of healthcare providers who are registered to order the GeneSight test. When you complete this form, we will link you to this directory, so you will have the
option to view registered GeneSight providers in your area.</p>
</div>
</div>
</fieldset>
<div id="tfa_2047" class="section group offstate" data-condition="`#tfa_1877`">
<div class="htmlSection" id="tfa_2048">
<div class="htmlContent" id="tfa_2048-HTML">
<div style="text-align: center;"><b style="font-size: 22px;">Please provide your clinician's information</b></div><span style="font-size:18px;">
<div style="text-align: center;"><span style="font-size: 18px;">The GeneSight test must be ordered by your clinician</span></div>
</span>
</div>
</div>
</div>
<div class="oneField field-container-D offstate" id="tfa_1953-D">
<label id="tfa_1953-L" class="label preField reqMark" for="tfa_1953">NPI</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1953" name="tfa_1953" value="" autocomplete="off" autoformat="##########" data-condition="`#tfa_7`" title="NPI" class="validate-custom /^[0-9]{10}$/ required"
disabled=""></div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_1953'] = {
selector: '*[id="tfa_1953"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_1953'] = "The NPI should be exactly 10 digits.";
}
}
</script>
</div>
<div class="oneField field-container-D offstate" id="tfa_1889-D">
<label id="tfa_1889-L" class="label preField reqMark" for="tfa_1889">Clinic Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1889" name="tfa_1889" value="" autocomplete="off" data-condition="`#tfa_1877` OR `#tfa_7` OR `#tfa_8` OR `#tfa_9`" title="Clinic Name" class="required" disabled="">
</div>
</div>
<div class="oneField field-container-D offstate" id="tfa_2060-D">
<label id="tfa_2060-L" class="label preField reqMark" for="tfa_2060">Clinic Phone</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2060" name="tfa_2060" value="" autocomplete="off" placeholder="###-###-####" data-condition="`#tfa_1877` OR `#tfa_7` OR `#tfa_8` OR `#tfa_9`" title="Clinic Phone"
class="validate-custom /^(\+\d{1,2}\s)?\(?\d{3}\)?[\s.-]?\d{3}[\s.-]?\d{4}$/ required" pattern="/^(+d{1,2}s)?(?d{3})?[s.-]?d{3}[s.-]?d{4}$/" disabled=""></div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_2060'] = {
selector: '*[id="tfa_2060"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_2060'] = "Please enter a valid phone number in ###-###-#### format.";
}
}
</script>
</div>
<div class="oneField field-container-D offstate" id="tfa_1890-D">
<label id="tfa_1890-L" class="label preField reqMark" for="tfa_1890">Clinic Zip</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1890" name="tfa_1890" value="" autocomplete="off" data-condition="`#tfa_1877` OR `#tfa_7` OR `#tfa_8` OR `#tfa_9`" title="Clinic Zip"
class="validate-custom /[0-9a-zA-Z]{5,}/g required" disabled=""></div>
<script type="text/javascript">
if (typeof wFORMS != 'undefined') {
if (wFORMS.behaviors.validation) {
wFORMS.behaviors.validation.rules['customtfa_1890'] = {
selector: '*[id="tfa_1890"]',
check: 'validateCustom'
};
wFORMS.behaviors.validation.messages['customtfa_1890'] = "Please enter a valid zip code with at least 5 characters.";
}
}
</script>
</div>
<div class="oneField field-container-D offstate" id="tfa_1959-D">
<label id="tfa_1959-L" class="label preField reqMark" for="tfa_1959">Would you like to provide information for the prescribing clinician?</label><br>
<div class="inputWrapper"><select aria-required="true" id="tfa_1959" name="tfa_1959" data-condition="`#tfa_8` OR `#tfa_9`" title="Would you like to provide information for the prescribing clinician?" class="required" disabled="">
<option value="">Please select...</option>
<option value="tfa_1960" id="tfa_1960" data-conditionals="#tfa_1965,#tfa_1885,#tfa_1886,#tfa_2066" class="">Yes</option>
<option value="tfa_1961" id="tfa_1961" class="">No</option>
</select></div>
</div>
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Text Content
Already a registered clinic? Clinic Sign In Clinic Sign In Take the Next Step * Product * Cost * For Patients * GeneSight Overview * Find a Provider * Doctor Discussion Guide * GeneSight Patient Stories * GeneSight® at Home * For Clinicians * GeneSight Overview * Clinical Studies * White Papers * Healthcare Provider Stories * GeneSight® at Home * Blog * Resources * Clinician * Patient * Genetic Insights * Contact * Take the Next Step * Take the next step GAIN INSIGHT ON HOW GENETICS MAY IMPACT MEDICATIONS LEARN MORE ABOUT THE GENESIGHT TEST Patients Clinicians Get Started WHAT IS THE GENESIGHT TEST? GeneSight Psychotropic is a pharmacogenomic test which means that it analyzes how your genes may affect medication outcomes. The GeneSight test analyzes clinically important genetic variations in your DNA. Results can inform your doctor about how you may break down or respond to certain medications commonly prescribed to treat depression, anxiety, ADHD, and other psychiatric conditions. The GeneSight test must be ordered by your doctor or nurse practitioner. The test is a simple cheek swab taken in your healthcare provider’s office or can be sent by your doctor to be taken in the convenience of your home. Learn More Take the Next Step SEE THE GENESIGHT TEST PROCESS Click for sound 0:37 COST SHOULDN’T BE A BARRIER Over 95% of patients pay $330 or less for their GeneSight test. We promise that if your cost could be more than $330, we’ll call you before we process your test. Learn More About the Cost of GeneSight If you have insurance, we will bill your insurance for the cost of the GeneSight test. Some insurance plans will cover the cost though this can vary Medicare (Part B) Covered Tests $0 out of pocket cost for your patient Medicaid Typically, $0 out of pocket cost Medicare Advantage Covered Tests Patient may be expected to cover a portion of the cost (typically $330 or less) Commercial or Other Uninsured Learn more at genesight.com/uninsured or contact our customer service team at 866.757.9204 A COMPREHENSIVE REPORT, PERSONALIZED FOR YOU. The GeneSight test report provides information about which medications may require dose adjustments, be less likely to work, or have an increased risk of side effects based on your genetic information. The report also includes information on how a patient’s smoking status may affect their body’s metabolism of certain medications. Learn More Learn More BACKED BY EXTENSIVE RESEARCH 7 clinical studies published in peer-reviewed journals support the GeneSight test’s effectiveness. GUIDED Clinical Study The largest patient and rater blinded pharmacogenomic study in mental health.1 Key Findings The GeneSight test outperformed treatment as usual 11% relative improvement in depressive symptoms2 30% relative improvement in response rates3 50% relative improvement in remission rates4 Learn More 1 The GUIDED Clinical Study was an 8-week, blinded, randomized controlled trial of 1,167 subjects with major depressive disorder from 20 academic sites and 40 community sites. 2 The primary endpoint of symptom improvement did not achieve statistical significance (p=0.107). Absolute improvement of 3%. 3 Secondary endpoint of response achieved statistical significance (p=0.013). Absolute improvement of 6% 4 Secondary endpoint of remission achieved statistical significance (p=0.007). Absolute improvement of 5% 1 people have taken the GeneSight test. 2,000,000+ people have taken the GeneSight test. HOW DOES IT WORK? The GeneSight test is administered by your healthcare provider in their office. Step 1 Your clinician collects a DNA sample by painlessly swabbing the inside of your cheek OR you can collect the sample at home using our patient collection kit. Step 2 The sample is sent to our lab for analysis. Step 3 After we receive your sample, your doctor will typically get test results in about 2 days. Step 4 Your clinician can contact our Medical Affairs team for a consultation. Your clinician can then review the results with you on your next visit. Take the Next Step The GeneSight test is administered by your healthcare provider in their office. Step 2 The sample is sent to our lab for analysis. Step 3 After we receive your sample, your doctor will typically get test results about 2 days. Step 4 Your clinician can contact our Medical Affairs team for a consultation. Your clinician can then review the results with you on your next visit. Step 1 Your clinician collects a DNA sample by painlessly swabbing the inside of your cheek OR you can collect the sample at home using our patient collection kit. Step 2 The sample is sent to our lab for analysis. Step 3 After we receive your sample, your doctor will typically get test results about 2 days. Step 4 Your clinician can contact our Medical Affairs team for a consultation. Your clinician can then review the results with you on your next visit. Step 1 Your clinician collects a DNA sample by painlessly swabbing the inside of your cheek OR you can collect the sample at home using our patient collection kit. Step 2 The sample is sent to our lab for analysis. Step 3 After we receive your sample, your doctor will typically get test results about 2 days. Take the Next Step Hear From Others Like You Click for sound 2:16 “I WAS SO IMPRESSED WITH THE GENESIGHT TESTING” Sami, Ohio “I’ve seen more stability and not as many side effects.” Justin, North Dakota Read More “I’ve been through so much and now I have hope” Cheryl, Utah Read More “Thank you for offering this test” Amanda, Ohio Read More The stories shared on this page are individual patients’ personal experiences with GeneSight. Others may not have the same experience or outcome. Do not make any changes to your current medications or dosing without consulting your healthcare provider. The GeneSight test must be ordered by and used only in consultation with a healthcare provider who can prescribe medications. TAKE THE NEXT STEP WITH GENESIGHT® TESTING If you’re interested to learn more about the GeneSight test, please fill out the form below. The GeneSight test must be ordered by a registered clinician. If you are a patient, caregiver or office staff who would like a clinician to be registered to administer the GeneSight test, please include their name and contact information. If you are a current registered provider or tested patient, please contact us. To submit this form it is necessary to enable Javascript and refresh the page. TAKE THE NEXT STEP - PD 1. Step 1 2. Step 2 3. Step 3 Please provide us with your name I Am A... Please select... Patient Caregiver Prescribing Clinician Office Staff Non-Prescribing Clinician First Name Last Name 1. Step 1 2. Step 2 3. Step 3 Please provide contact and clinic information Please provide contact information Date of Birth (MM/DD/YYYY) We are asking for Date of Birth for data verification purposes. x Email Job Title Zip Code Phone 12 characters left. Would you like to provide the patient's information? Please select... Yes No Relationship to Patient Please select... Parent Child Spouse Other Immediate Family Member Friend Other Patient First Name Patient Last Name Patient Zip Code Patient Date of Birth (MM/DD/YYYY) We are asking for Date of Birth for data verification purposes. x Are you interested in us contacting the patients' clinician about GeneSight? Please select... Yes No - I don't have clinician information If you do not have a clinician, we have a directory of healthcare providers who are registered to order the GeneSight test. When you complete this form, we will link you to this directory, so you will have the option to view registered GeneSight providers in your area. Patient's Doctor's First Name Patient's Doctor's Last Name Patient's Clinic Name Patient's Clinic Zip Patient's Clinic Phone 12 characters left. Do You Have Clinician Information? Please select... Yes No If you do not have a clinician, we have a directory of healthcare providers who are registered to order the GeneSight test. When you complete this form, we will link you to this directory, so you will have the option to view registered GeneSight providers in your area. Please provide your clinician's information The GeneSight test must be ordered by your clinician NPI Clinic Name Clinic Phone Clinic Zip Would you like to provide information for the prescribing clinician? Please select... Yes No Prescribing Clinician NPI Prescribing Clinician First Name Prescribing Clinician Last Name 1. Step 1 2. Step 2 3. Step 3 How can we help? When you click 'Take the Next Step' we'll follow up with you Please let us know how we can best help you When you click 'Take the Next Step' we'll follow up with you How Can We Help You? Please select... What is the GeneSight test? How can my current HCP Register? How much does the GeneSight test cost? Is my current HCP registered? Other How Can We Help You? Please select... What is the GeneSight test? How can the current HCP register? How much does the GeneSight test cost? Is the current HCP registered? Other How Can We Help You? Please select... What is the GeneSight test? How much does the GeneSight test cost? How do I register for GeneSight testing? Has the GeneSight test been evaluated in clinical studies? Other How Can We Help You? Please select... What is the GeneSight test? How much does the GeneSight test cost? What are the requirements for ordering the GeneSight test? Has the GeneSight test been evaluated in clinical studies? Other Additional Details Do you live in the United States? Please select... Yes No We would love to communicate with you about our programs, products, and services. We will always treat your personal details with the utmost care and will never sell them to other companies for marketing purposes. Your consent may be withdrawn at any time using the unsubscribe link provided in all of Myriad’s email communications. Yes please, I would like to hear about programs, products, and services. 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