By calling (888) 312-4362 you can speak with a caring case manager, or you may complete the form below to begin processing your request. Upon completion (once you click on the FINISH icon below) your information will be transmitted electronically to us. When payment and your information is received by Paternity Express, a case manager will review the information you provided, then he or she will contact you after making arrangements with a facility that is closest to the address you specified or nearest to the individual to be tested, schedule an appointment for sample collection, and notify each participant of their respective appointment: time, date, and address of the facility. We will communicate with you via telephone, facsimile, or e-mail as you have selected

Step 1: Case Coordinator’s Information

* Last Name:
* First Name:
* Select Test:
US residents initiating a DNA Test with a non-resident may use this form.
* Relationship to the Test Participant: Attorney Alleged Father Mother Adult Child Other Relationship

* Address
* Apt/Suite/Unit:
* City
* State
* Country
* Zip Code
* Best time/day to contact you:

* Preferred Phone Number
* Fax number (Enter NA if none)
* Email Address
* Password
* Re-Enter Password:
* Enter Code: