Patient Enquiry


Name *
Name
I am interested in
Postal address
Postal address
If you would like some information posted to you, please provide your address
I have read and understood the Genostics Terms and Conditions and am willing to proceed with this enquiry *
Please discuss your eligibility for the test with your treating practitioner. Only a certified, AUS/NZ registered health practitioner can order a test.
Would you like us to contact your treating practitioner? *
Genostics is happy to contact your practitioner on your behalf. We can let them know that you have expressed interest in a test and send them the relevant information and forms.
Treating practitioner
Treating practitioner
If you would like us to contact your treating practitioner, please give their name and clinic name/address
 

Practitioner Enquiry


Name *
Name
Checkbox *
I am a certified health practitioner currently registered in Australia or New Zealand
If you would like a phone call from our Medical Director, please provide your contact number:
If you would like a phone call from our Medical Director, please provide your contact number:
Please tick if you would like us to email you some information on:
If you would like some patient-information brochures for your clinic, please provide the clinic address
If you would like some patient-information brochures for your clinic, please provide the clinic address
I am interested in ongoing educational seminars, webinars and workshops *
 

Other


Phone:
1300 282 482

Fax:
+61 2 8088 7097

Email:
office@genostics.com.au

Office hours:
Monday - Friday
9:00am - 4:30pm (AEST)