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🔒 Secure DNA Collection Portal

NON-LEGAL DNA PATERNITY INTAKE FORM

This test is for personal knowledge only and is not court admissible.

Contact Person Information

Alleged Father Information

Date of Birth
Month
Day
Year

Child Information

Date of Birth
Month
Day
Year
Is the child a minor?
Yes
No

Mother Participation

Single choice
Mother will participate in testing
Mother will NOT participate

Including the mother improves accuracy but is not required.

 Participant Identification (Optional)

Identification is not required for non-legal DNA testing.

However, uploading identification helps verify participants and protects all parties involved

Consent Statement

I understand that this DNA test is for personal knowledge only and is not intended for legal use.


I acknowledge that samples will be collected via cheek swab and submitted to an accredited laboratory.


I understand results are confidential and will only be released to the designated recipient listed above.


Prime Diagnostics LLC verifies participant identity to the extent voluntarily provided for non-legal testing purposes only.


Signature

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Date
Month
Day
Year

Contact

205-460-1080

5280 Old Springville Rd Ste 200 Pinson, AL 35126

Hours

Mon - Fri

8:00 am - 5:00 pm

Saturday

10:00 am - 3:00 pm

Sunday

Closed

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