Request PrenatalSAFE

For future parents or physicians

To request PrenatalSAFE® test fill in the online form with the required ​information (your personal information will be used exclusively to satisfy your request, in the absolute respect of your privacy).

Required ​Information (*)

Applicant (*)
PrenatalSAFE Test (*)
Your Name (*)
E-mail (*)
Telephone number (*)
Maternal age (*)
Pregnancy Week (*)
Address to receive transport container (*)
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