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Home
About Us
Test Services
Triad Service Areas
Mileage Policy
Refund Policy
Terms & Conditions
Client Info
Referral Program
Affiliate Program

Client Intake Form

Please provide your details for a smooth and efficient DNA testing experience. Thank you!

Client Intake

Enter your full name*

Date of Birth*

Gender assigned at birth*

Street Address*

Phone Number*

Provide your email address*

Photo ID Verification (Type, Number, Expiry Date)*

Type of Test Requested*

Reason for Test*

Testing Location

Preferred Appointment Date and Time*

Preferred Method of Receiving Results*

Email

Mail

person wearing silver ring using black computer keyboard

person wearing silver ring using black computer keyboard

Client Intake Page

Information needed for testing purposes

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man and woman sitting while using MacBook Pro

person using laptop

person using laptop

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white cotton buds on persons hand

Confidential

Discreet DNA and drug testing services available.

Precision

Mobile

info@triadconfidentialtesting.com

(336)313-0005

Enter your email address

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