Give the gift of health

Catching cancer at Stage I or II significantly improves outcomes. With EPISEEK®, early detection is more accessible than ever.

How It Works

Your Path to Early Detection

Getting started with EPISEEK is a simple 3-step process designed for your convenience:

STEP 1

Fill out our secure online form.

An independent licensed healthcare provider will review your records for eligibility and send you a text or email to confirm.

STEP 2

Schedule a blood draw.

Our mobile phlebotomist will come to you, get a blood sample, and send it to the lab for analysis.

STEP 3

Access your results!

We’ll securely report your results directly to your healthcare provider, who will then contact you to discuss the findings.

Want to speak to someone directly?

Email stopcancer@precision-epigenomics.com or click below.

It’s that easy!

Fill out the form now to get started!

EPISEEK® MULTI-CANCER EARLY DETECTION TEST REQUISITION | Intake Form User

EPISEEK® MULTI-CANCER EARLY DETECTION TEST REQUISITION


PATIENT INFORMATION

First and Last Name*:
Date of Birth*:
Sex at Birth*:
Home Address, City, State, ZIP*:
Home Address*:
City*:
State*:
ZIP*:
Mobile Phone*:
Email*:

COLLECTION KIT SHIPPING AND CONTACT INFORMATION

Email for Party Responsible for Billing and Collection Kit (if different from above):
Shipping Address for Party Responsible for Billing and Collection Kit (if different from above):

PERSONAL HISTORY

Have you ever been diagnosed with cancer other than skin cancer?*:
Min 5 characters. Max 100 characters.
Do you suspect you may currently have cancer?*:
Min 3 characters. Max 100 characters.
If you answered 'yes' to the previous question, what signs or symptoms are you experiencing?:
Have you ever been diagnosed with cancer AND have not been in remission for at least 3 years?*:
Min 5 characters. Max 100 characters.
If you answered 'yes' to the previous question, what cancer type(s)?:
Have you been diagnosed with cancer AND have been in remission for the last 3 years?*:
Min 5 characters. Max 100 characters.
If you answered 'yes' to the previous question, what types of cancer and what was the date of your last treatment?: