Genetic Testing - Patients

UMDF Industry Partner Gene DX is offering, on a quarterly basis, one complimentary mtDNA (mtSEEK) or nuclear gene analysis (nucSEEK) to a mitochondrial disease patient who may not be able to afford such critical and advanced testing. Physicians must provide their information In order to enter this random quarterly drawing on behalf of their patient. Physicians must register at: www.secure.umdf.org/MDTesting. One physician each quarter will be selected to provide this test for his/her patient. In order for patients to qualify, they must be registered in the Mitochondrial Disease Community Registry at www.umdf.org/registry and must provide the following information.
* required information
Registration 
Registration Information
First Name:*
Middle Initial:
Last Name:*
Suffix:
Age: years old
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
Province:
ZIP/Postal Code:*
Country:
Phone:
Opt in: Yes! I would like to receive further information via email about the United Mitochondrial Disease Foundation.
Advocacy Information: Latest news on our advocacy efforts
UMDF National Updates: News and information from the national UMDF office
Fundraisers in my area: Localized event information
Symposium Information: Information about symposium
Energy For Life Walkathons: Information on Energy for Life Walkathons in your area
Are you registered in the Mitochondrial Disease Community Registry?::* Yes
No (if 'no' register at www.umdf.org/registry)
What type of Mitochondrial Disease do you have?:
I'd like to host an event for UMDF. Please contact me:: Yes
No
Fees
$0.00 Standard
General Registration