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Gene 207 Perry Parkway Gaithersburg, MD 20877 Phone: 3015192100 Fax: 3015192892 Email: genedx.com www.genedx.com Informed Consent for DNA Testing I, request DNA based testing for circle MYSELF and/or

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1. Start by opening your preferred email client or platform.
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9. If needed, attach any relevant files or documents to the email by clicking on the "Attach" or "Insert" button.
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