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How will you be paying for the test?

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Where will you have your skin biopsy

Enter your primary care provider information

Next we will ask about your health and medical history, including your family history of cancer


We collect this information to help the PWN Health physician confirm your eligibility for the NeuroQure test and help our NeuroQure lab interpret your test results.


You can review our and for additional details.

General Information

Please provide your primary reason for requesting the test.

Please choose which test situation best applies to you. For informational purposes only.

What is your child's sex assigned at birth?

What is your child's ethnicity? You may select more than one option if applicable.

Medical History

Did the child's birth mother have any serious illnesses during pregnancy

Autism History

Have any of your close family members had autism in their lifetime? By close family members, we mean your first and second degree family members (E.g. parents, grandparents, siblings, aunts, uncles, nieces, nephews, children, grandchildren)

Genetic Predisposition

Have any of your close family members had autism in their lifetime? By close family members, we mean your first and second degree family members (E.g. parents, grandparents, siblings, aunts, uncles, nieces, nephews, children, grandchildren)

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Review your responses before the checkout process

Checkout

When your Early Autism Detection test request is submitted, you’ll be charged $949.

This price includes:

  • The Early Autism Detection test
  • Evaluation of clinical eligibility (PWNHealth oversight fee included)
  • Skin biopsy services with one of our partners
  • Sample processing at the NEUROQURE lab
  • Test results review by a PWN Health physician and optional consultations
  • Support services from the NEUROQURE Patient Advocate for you and your primary care provider in the event of a Autism
  • Signal Detected test result

If you have questions of any moment of filling out this form or need an assistance, please

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