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REFER A doctor

* A physician must prescribe the SYNTap Test. Use this form to refer a doctor.*

Currently, Amprion offers this test on a self-pay basis. We are also working diligently to establish reimbursement from private insurance providers, Medicare, and Medicaid. The SYNTap Test is available in the US, except Maryland, New York, Pennsylvania, and Rhode Island. We anticipate rollout in these states within the next few months.

Contact Information

Physician's Information

Full Disclosure:  Amprion respects and treats personal information with the utmost confidentiality. We are committed to anonymity and will not sell your personal data to third parties. Therefore, we respectfully ask that you do not enter any personal diagnostic data here.

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