Become a Provider {Sign Up Today!} | Dynamic DNA Laboratories

Join now and start making a difference for your patients.

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Help Patients Become the Best Version of Themselves

Complete the form below to become a provider with Dynamic DNA Labs to offer your patients the best genetic testing suited for their needs.

Once established, you will be able to place kit orders and receive patient results in our HIPAA compliant portal.

For more information on becoming a provider email us at info@dynamicdnalabs.com.

Become a Provider

Once completed, we will contact you to help set up your patient portal.

First Name

Last Name

Practice Name

Practice Address

For international clients, email info@dynamicdnalabs.com

City

State/Province

Country

Postal Code

Practice Email

Phone Number

Ordering Physician Information

Physician Name

Suffix

NPI/License Number

Which test categories is your practice interested in ordering?

Proactive Health

Personalized Medicine (Cardiovascular Health, Pain Management, Mental Health, Comprehensive)

Polygenic Risk Scores (Disease Predisposition Screening)

Single Gene Screenings (APOE, MTHFR, COMT, Factor II, Factor V)

Other

Become A Provider

Join now and start making a difference for your patients.

Help Patients Become the Best Version of Themselves

Become a Provider