Myriad SneakPeek clinical sales submission form

Give your patients the option to find out the gender of their baby as soon as 6 weeks into pregnancy with over 99% accuracy.¹

SneakPeek is the leading provider and only OBGYN-recommended early gender DNA test on the market. With over 1 million tests performed, SneakPeek is the most trusted brand by healthcare professionals.

Interested in offering SneakPeek Clinical?

Being part of our clinical program means you could offer Snap device or phlebotomy collection at your location. Fill out the form below and someone from our team will contact you as soon as possible. We look forward to hearing from you!

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Myriad AE Information
Name
Email
Clinic Information
Name*
First Last
Title
Business Name*
Business Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Website
Number of New OB patients per month
Billing Information
Please Indicate the prefered method of payment by choosing an option below - our team will follow up with next steps depending on selection.
No charges will be incurred until after results are sent, but specific information is needed prior to shipping kits/supplies/marketing materials/etc.
- Credit Card
- Invoicing - We offer both electronic or paper options
Map Locator Status
(Opting in will show this location as offering SneakPeek Clinical and this may drive new patients to the practice that are just looking for SneakPeek)
- Yes, add my location to the locator map
- No, do not add my location to the locator map
Confirm the following items have been discussed with the account
1. Marketing Materials
A brief review of the provided in-office marketing materials and social media images provided to help you create a SneakPeek awareness / availability. A SneakPeek mention on the provider website services page is also recommended.
2. Sample Collection
- a. Best practices of mixing after collection and shipping guidance to insure next day results.
- b. Lab hours 6 days per week, yes even Saturday.
- c. Shipping address for SneakPeek kits and marketing materials is confirmed and shown above.
3. Confirm type of collection kit to be shipped (select preference by checking only one of the boxes below)
- a. Traditional venipuncture tube kit
- b. Snap device kit
Comments

Myriad SneakPeek clinical sales submission form

Interested in offering SneakPeek Clinical?

Myriad AE Information

Clinic Information

Confirm the following items have been discussed with the account