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Commercial Patient Testing - ProtaGene
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document.querySelector('nav#mainNav'), hamburgerBtn = document.querySelector('button.openMenu'), closeBtn = document.querySelector('button.closeMenu'); hamburgerBtn.onclick = function() { openMenu() } closeBtn.onclick = function() { closeMenu() } function closeMenu() { navDrawer.classList.add('closed') } function openMenu() { navDrawer.classList.remove('closed') } </script> <main class="main overflow-x-hidden"> <section class="pt-32 lg:pt-48 lg:pb-20 pb-8 bg-navy-900 text-white bg-cover bg-center lg:min-h-[410px]" style="background-image: url(https://www.protagene.com/wp-content/uploads/2021/11/Img20_Contact-scaled.jpg);"> <div class="container mx-auto"> <div class="flex flex-wrap"> <div class="w-full lg:w-3/4"> <h1 class="text-orange-500 leading-tight mb-2"> Commercial Patient Testing </h1> </div> </div> </div> </section> <section class="w-screen bg-white text-black relative overflow-hidden "> <div class="container lg:px-0 pt-8 lg:pt-50 pb-8 lg:pb-50 mx-auto relative overflow-hidden"> <div class="z-10 relative"> <div class="flex flex-wrap"> <div class="w-full lg:w-3/5 lg:pr-24"> <div class=""> </div> <div class="mt-4"> <div class="richtext"> <p>ProtaGene, in collaboration with our biopharmaceutical clients and patient treatment centers (e.g., those that administer approved commercial products), tests patient samples in support of safety monitoring protocols. Patient testing is supported at our ProtaGene CGT GmbH (Heidelberg, Germany) and ProtaGene US (MA, USA) sites.</p> <p>ProtaGene US holds a CLIA Certificate of Registration and is approved to perform high-complexity testing.</p> <p><a href="https://www.protagene.com/gene-cell-analytics/integration-site-analysis/">Integration Site Analysis (ISA)</a> and Vector Copy Number (VCN) are highly recommended for post-treatment safety monitoring, including Post-Registration or Registration Safety Trials. ISA is currently available at both our US and Heidelberg locations to patients treated with approved therapies, using validated assay platforms.</p> <p>Our general ISA sample and shipping guidelines as well as Frequently Asked Questions (FAQs) can be found below. Please contact us at info@protagene.com to talk to our Client Services team.</p> </div> </div> <div class="mt-4"> <div class="h-0 lg:h-8"></div> </div> </div> <div class="w-full lg:w-2/5 mt-4 lg:mt-0"> <div class=" 0"> <div class="h-0 lg:h-8"></div> </div> <div class="mt-4 1"> <div> <a href="https://www.protagene.com/bluebird-bio-commercial-patient-testing/" class="font-semibold inline-flex px-4 py-2 border-2 border-solid border-orange-500 text-orange-500 hover:text-white hover:bg-orange-500"> Bluebird bio Commercial Patient Testing </a> </div> </div> </div> </div> </div> </div> </section> <section class="w-screen bg-gray-200 text-black relative overflow-hidden "> <div class="container lg:px-24 pt-8 lg:pt-70 pb-0 mx-auto relative overflow-hidden"> <div class="z-10 relative"> <div class="flex flex-wrap"> <div class="w-full lg:w-1/3"> <div class=""> <h2 class="">Guidelines</h2> </div> </div> </div> </div> </div> </section> <section class="w-screen bg-gray-200 text-black relative overflow-hidden "> <div class="container lg:px-24 pt-0 pb-8 lg:pb-50 mx-auto relative overflow-hidden"> <div class="z-10 relative"> <div class="flex flex-wrap"> <div class="w-full lg:w-1/3"> <div class=""> <div class="richtext"> <h4>Sample Requirements</h4> </div> </div> </div> <div class="w-full lg:w-2/3 lg:pl-16 mt-4 lg:mt-0"> <div class=" 0"> <ul id="random15de283" class=" relative "> <li class="level-1 leading-6 "> <div class="flex"> <div class="py-2 mr-2"> <svg width="10px" height="10px" class="li-bullet" viewBox="0 0 10 10" xmlns="http://www.w3.org/2000/svg"> <svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" width="10px" height="10px" viewBox="0 0 10 10" version="1.1"> <!-- Generator: Sketch 59.1 (86144) - https://sketch.com --> <title>bullet</title> <desc>Created with Sketch.</desc> <g id="Page" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="01_Protagene_HP" transform="translate(-642.000000, -1841.000000)" fill="#E95A29"> <g id="Group-2" transform="translate(642.000000, 1841.000000)"> <g id="bullet"> <rect id="Rectangle" transform="translate(5.000000, 5.000000) rotate(-315.000000) translate(-5.000000, -5.000000) " x="2" y="2" width="6" height="6"/> </g> </g> </g> </g> </svg> </svg> </div> <p> Peripheral blood: 2mL (minimum 1mL) in EDTA tube </p> </div> </li> <li class="level-1 leading-6 "> <div class="flex"> <div class="py-2 mr-2"> <svg width="10px" height="10px" class="li-bullet" viewBox="0 0 10 10" xmlns="http://www.w3.org/2000/svg"> <svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" width="10px" height="10px" viewBox="0 0 10 10" version="1.1"> <!-- Generator: Sketch 59.1 (86144) - https://sketch.com --> <title>bullet</title> <desc>Created with Sketch.</desc> <g id="Page" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="01_Protagene_HP" transform="translate(-642.000000, -1841.000000)" fill="#E95A29"> <g id="Group-2" transform="translate(642.000000, 1841.000000)"> <g id="bullet"> <rect id="Rectangle" transform="translate(5.000000, 5.000000) rotate(-315.000000) translate(-5.000000, -5.000000) " x="2" y="2" width="6" height="6"/> </g> </g> </g> </g> </svg> </svg> </div> <p> DNA: 5µg (15-100 ng/µl) in screw cap cryovial </p> </div> </li> </ul> </div> </div> </div> </div> </div> </section> <section class="w-screen bg-white text-black relative overflow-hidden "> <div class="container lg:px-24 pt-8 lg:pt-50 pb-8 lg:pb-50 mx-auto relative overflow-hidden"> <div class="z-10 relative"> <div class="flex flex-wrap"> <div class="w-full lg:w-1/3"> <div class=""> <div class="richtext"> <h4>Shipping Requirements</h4> </div> </div> </div> <div class="w-full lg:w-2/3 lg:pl-16 mt-4 lg:mt-0"> <div class=" 0"> <div class="richtext"> <ul> <li>Shipper must be IATA-certified to transport dangerous goods</li> </ul> <p> </p> <ul> <li>Supplies</li> </ul> <p style="padding-left: 40px;">To US:</p> <ul style="padding-left: 60px;"> <li>Please complete and print the <a href="https://www.protagene.com/wp-content/uploads/2024/06/ISA-Requisition-Generic_10Jun2024.pdf">Requisition Form</a> to ship with samples and send a copy electronically to ISA-US@protagene.com</li> <li>Ziplock biohazard bag with absorbent pad</li> <li>Cool packs or dry ice (consider adding more during warm weather) <ul style="padding-left: 20px;"> <li>Cool packs for shipping specimens collected <2 days</li> <li>Dry ice for shipping specimens collected >2 days</li> <li>Please refer to the sample requirement section of the <a href="https://www.protagene.com/wp-content/uploads/2024/06/ISA-Requisition-Generic_10Jun2024.pdf">Requisition Form</a> for additional details on specimen storage conditions if sample cannot be shipped within 2 days of collection</li> </ul> </li> <li>Insulated mailer with proper markings</li> </ul> <p> </p> <p style="padding-left: 40px;">To Heidelberg:</p> <ul style="padding-left: 60px;"> <li>Please contact ProtaGene at <a href="mailto:info@protagene.com">info@protagene.com</a> to be directed to our client services team</li> </ul> </div> </div> </div> </div> </div> </div> </section> <section class="w-screen bg-gray-200 text-black relative overflow-hidden "> <div class="container lg:px-24 pt-8 lg:pt-50 pb-8 lg:pb-100 mx-auto relative overflow-hidden"> <div class="z-10 relative"> <div class="flex flex-wrap"> <div class="w-full lg:w-1/3"> <div class=""> <div class="richtext"> <h4>Airbill addressed to:</h4> </div> </div> </div> <div class="w-full lg:w-2/3 lg:pl-16 mt-4 lg:mt-0"> <div class=" 0"> <div class="richtext"> <p><strong>Specimen Receiving</strong><br /> <strong>ProtaGene US, Inc</strong><br /> 4 Burlington Woods Drive, 2nd Floor<br /> Burlington, MA 01803<br /> USA<br /> +1 (857) 829-3200</p> <p><strong>Specimen Receiving</strong><br /> <strong>ProtaGene CGT GmbH</strong><br /> Im Neuenheimer Feld 582<br /> 69120 Heidelberg<br /> Germany<br /> +49 6221 42790-0</p> </div> </div> </div> </div> </div> </div> </section> <section class="w-screen bg-white text-black relative overflow-hidden "> <div class="container lg:px-24 pt-8 lg:pt-70 pb-8 lg:pb-100 mx-auto relative overflow-hidden"> <div class="z-10 relative"> <div class="flex flex-wrap"> <div class="w-full lg:w-1/2 lg:pr-8"> <div class=""> <h2 class="text-orange-500">Frequently Asked Questions</h2> </div> <div class="mt-4"> <div class="richtext"> <ol> <li><strong>1. Who can be tested?</strong></li> </ol> <p>This service is currently only available to commercial patients treated with approved therapies.</p> <p> </p> <ol> <li><strong>2. How can I request this test on a patient who has received an approved therapy?</strong></li> </ol> <p>The test <a href="https://www.protagene.com/wp-content/uploads/2024/06/ISA-Requisition-Generic_10Jun2024.pdf">Requisition Form</a>, sample requirements, shipping instructions, and other accompanying information is available on this page. The Requisition Form needs to be completed and signed by the requesting physician, collection site, or client.</p> <p> </p> <ol> <li><strong>3. What sample(s) are acceptable for testing?</strong></li> </ol> <p>Commonly, there are two acceptable sample types: 2mL peripheral blood in an EDTA tube or 5µg DNA (15-100ng/µL) in a screw cap cryovial. Other blood preparations or tissues may be submitted as required by the program.</p> <p> </p> <ol> <li><strong>4. Are there any special instructions for sending samples?</strong></li> </ol> <p>Samples may be sent by overnight delivery via commercial courier. If using a private courier service, the courier must comply with IATA requirements for transporting dangerous goods.</p> <p>Packages should be shipped to ProtaGene between Monday through Thursday only, for receipt no later than Friday. Packages delivered on weekends should be avoided.</p> <p>If shipping within 2 days of collection, samples may be shipped on an ice pack or wet ice. Otherwise, samples should be shipped frozen (dry ice).</p> <p> </p> <ol> <li><strong>5. What is the anticipated turnaround time for ISA testing?</strong></li> </ol> <p>Standard sample processing and testing takes 6-8 weeks.</p> <p> </p> <ol> <li><strong>6. How will I receive the results?</strong></li> </ol> <p>Finalized reports will be sent directly to the requesting physician, collection site, or client via secure email to the contact provided in the requisition form or as defined in the Statement of Work (SOW).</p> </div> </div> </div> <div class="w-full lg:w-1/2 lg:pl-8 mt-4 lg:mt-0"> <div class=" 0"> <div class="h-0 lg:h-8"></div> </div> <div class="mt-4 1"> <div class="richtext"> <ol> <li><strong>7. Will I be notified if there’s a delay?</strong></li> </ol> <p>The client will receive an email notification of any issues (i.e., repeat test, delays, etc.).</p> <p> </p> <ol> <li><strong>8. What should I expect in an ISA report?</strong></li> </ol> <p>Unless otherwise defined in the Statement of Work (SOW), ISA testing is reported as a summary report, including:</p> <ul> <li>Sample specifications (as provided on requisition form)</li> <li>ISA method summary</li> <li>Integration site (IS) counts are a reflection of vector-copy number and presence/lack of clonal outgrowth. Higher counts (e.g., comprising of thousands of different IS locations) correlate with more successful treatment and reduced risk.</li> <li>The report will include the ten most prominent IS locations with estimation of clonal size, nearby gene name, and IS location specification (chromosome number, sequence orientation (plus or minus), and locus of the IS based on human reference genome). Higher IS frequencies, especially IS locations which increase over time, indicate clonal dominance.</li> <li>Oligoclonality is defined as an IS detected at ≥ 10% Relative Frequency (RelFreq) for 1 IS the first time at the most recent ISA, or ≥ 5% Relative Frequency (RelFreq) for ≥ 2 IS each the first time at the most recent ISA. While oligoclonality itself will not a priori result in a malignancy, IS relative frequency may suggest the emergence of clonal hematopoiesis, which may be associated with an increased risk of a malignancy.</li> <li>A sample IS summary report can be found <a href="https://www.protagene.com/wp-content/uploads/2024/05/ProtaGene_Sample_ISSummaryReport.pdf">here</a>.</li> </ul> <p> </p> <ol> <li><strong>9. Which states is ProtaGene US accepting samples from?</strong></li> </ol> <p>ProtaGene US is currently accepting samples originating from the following states: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MA, MI, MN, MS, MO, MT, NE, NH, NJ, NM, NC, ND, OH, OK, OR, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, and, WY.</p> <p>ProtaGene US has received its <a href="https://www.protagene.com/wp-content/uploads/2024/05/ProtaGene_CLIA_Certificate_22D2300979-2024-03-19.pdf">Clinical Laboratory Improvements Amendments (CLIA) <em>Certificate of Registry</em></a> from the state of Massachusetts. Additional state CLIA licenses are being obtained as needed to allow receipt of patient samples from all US states.</p> <p> </p> <ol> <li><strong>10. What if I have more questions?</strong></li> </ol> <p>Please complete the inquiry form below, and we will respond within 2 business days.</p> </div> </div> </div> </div> </div> </div> </section> <section class="w-screen bg-gray-200 text-black relative overflow-hidden "> <div class="container lg:px-24 pt-8 lg:pt-70 pb-8 lg:pb-100 mx-auto relative overflow-hidden"> <div class="z-10 relative"> <div class="flex flex-wrap"> <div class="w-full lg:w-1/3"> <div class=""> <h2 class="">Questions? Contact Our Commercial Product Support Team</h2> </div> <div class="mt-4"> <div class="richtext"> <p>To contact us, please fill out the form or <a href="mailto:isa-us@protagene.com">email us</a>. Our team will be sure to follow up promptly.</p> </div> </div> </div> <div class="w-full lg:w-2/3 lg:pl-16 mt-4 lg:mt-0"> <div class=" 0"> <div class="richtext"> <script type="text/javascript"></script> <div class='gf_browser_chrome gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_12' > <div class='gform_heading'> <h2 class="gform_title">Commercial Patient Testing – Contact ISA</h2> <p class='gform_description'></p> <p class='gform_required_legend'>"<span class="gfield_required gfield_required_asterisk">*</span>" indicates required fields</p> </div><form method='post' enctype='multipart/form-data' id='gform_12' action='/commercial-patient-testing/' data-formid='12' novalidate> <div class='gform-body gform_body'><div id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id="field_12_1" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_1" ><label class='gfield_label gform-field-label' for='input_12_1'>First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_12_1' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_12_2" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_2" ><label class='gfield_label gform-field-label' for='input_12_2'>Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_12_2' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_12_3" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_3" ><label class='gfield_label gform-field-label' for='input_12_3'>Company<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_12_3' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_12_4" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_4" ><label class='gfield_label gform-field-label' for='input_12_4'>Title</label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_12_4' type='text' value='' class='large' aria-invalid="false" /> </div></div><div id="field_12_5" class="gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_5" ><label class='gfield_label gform-field-label' for='input_12_5'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_5' id='input_12_5' type='email' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_12_49" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_12_49" ><label class='gfield_label gform-field-label' for='input_12_49'>Phone Number</label><div class='ginput_container ginput_container_phone'><input name='input_49' id='input_12_49' type='tel' value='' class='large' aria-invalid="false" /></div></div><fieldset id="field_12_50" class="gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_12_50" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Street Address</legend> <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_12_50' > <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_50_1_container' > <label for='input_12_50_1' id='input_12_50_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label> <input type='text' name='input_50.1' id='input_12_50_1' value='' aria-required='false' /> </span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_12_50_3_container' > <label for='input_12_50_3' id='input_12_50_3_label' class='gform-field-label gform-field-label--type-sub '>City</label> <input type='text' name='input_50.3' id='input_12_50_3' value='' aria-required='false' /> </span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_12_50_4_container' > <label for='input_12_50_4' id='input_12_50_4_label' class='gform-field-label gform-field-label--type-sub '>State / Province / Region</label> <input type='text' name='input_50.4' id='input_12_50_4' value='' aria-required='false' /> </span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_12_50_5_container' > <label for='input_12_50_5' id='input_12_50_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP / Postal Code</label> <input type='text' name='input_50.5' id='input_12_50_5' value='' aria-required='false' /> </span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_12_50_6_container' > <label for='input_12_50_6' id='input_12_50_6_label' class='gform-field-label gform-field-label--type-sub '>Country</label> <select name='input_50.6' id='input_12_50_6' aria-required='false' ><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cabo Verde' >Cabo Verde</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo' >Congo</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Curaçao' >Curaçao</option><option value='Cyprus' >Cyprus</option><option value='Czechia' >Czechia</option><option value='Côte d'Ivoire' >Côte d'Ivoire</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini' >Eswatini</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Korea, Democratic People's Republic of' >Korea, Democratic People's Republic of</option><option value='Korea, Republic of' >Korea, Republic of</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People's Democratic Republic' >Lao People's Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macao' >Macao</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Macedonia' >North Macedonia</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russian Federation' >Russian Federation</option><option value='Rwanda' >Rwanda</option><option value='Réunion' >Réunion</option><option value='Saint Barthélemy' >Saint Barthélemy</option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria Arab Republic' >Syria Arab Republic</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='Türkiye' >Türkiye</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Viet Nam' >Viet Nam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option><option value='Åland Islands' >Åland Islands</option> </select> </span> <div class='gf_clear gf_clear_complex'></div> </div></fieldset><div id="field_12_13" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below 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data-form-index='0' id='gform_wrapper_3' ><div id='gf_3' class='gform_anchor' tabindex='-1'></div> <div class='gform_heading'> <p class='gform_description'></p> </div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_3' id='gform_3' action='/commercial-patient-testing/#gf_3' data-formid='3' novalidate> <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id="field_3_1" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_3_1" ><label class='gfield_label gform-field-label' for='input_3_1'>First Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_text'><input 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