Mental Healthcare
Provider Form

Mental Healthcare Provider Form

First name*

Last name*

Company*

Phone*

Email*

DISCLAIMER: iXpressGenes panels, including TAI™ and APX™, were developed and its performance characteristics determined by iXpressGenes in its College of American Pathologists (CAP) accredited laboratory. They have not been cleared or approved by the U.S. Food and Drug Administration (FDA). iXpressGenes Inc. is not a licensed medical provider. iXpressGenes panels do not diagnose any disease or condition, including PTSD. The panels are not intended to inform treatment decisions. This test provides informational data on biomarker levels for consideration by a qualified healthcare professional within the full context of a patient's clinical evaluation. All interpretations or information provided are derived from peer-reviewed scientific literature and are not a substitute for professional medical advice, diagnosis, or treatment. Patients must consult their physician or licensed healthcare provider before making any medical decisions.

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Huntsville, AL 35806

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