Order order

Order free AlphaID™ screening kits to rule out alpha-1

Rule out alpha-1 in all of your patients with COPD. AlphaID is a fast, free,* and easy cheek swab for screening all of your patients for alpha-1, the #1 risk factor for genetic COPD.1

  • AlphaID is provided compliments of Grifols and may not be billed to patients or their insurers
  • AlphaID is processed at an independent, certified laboratory that values and adheres to strict privacy and confidentiality standards2
  • Turnaround time is within 5 business days of sample receipt by the lab2
  • Only ordering clinicians and their staff can access results via fax and confidential portal when email is provided

PCP AlphaID HCP Kit Form

Nome

Nome

Cognome

Cognome

Credenziali

Credenziali

NPI Number

NPI Number

Indirizzo di posta

Indirizzo di posta

Mailing Address 2 (Optional)

Mailing Address 2 (Optional)

Città

Città

Stato *

 

ZIP Code

ZIP Code

Email Address

Email Address

# Kits Requested *

 
Check this box to confirm that you agree to give permission to use your personal information to receive disease state and other helpful information from Grifols and service providers and parties acting on its behalf. You may revoke your permission at any time. To learn how Grifols will use and protect your personal information, please review our Privacy Policy and Terms of Use.

order references

*AlphaID is provided compliments of Grifols and may not be billed to patients or their insurers.

COPD, chronic obstructive pulmonary disease.


References: 
  1. Alpha-1 Foundation. Lung disease. https://www.alpha1.org/Newly-Diagnosed/Learning-about-Alpha-1/Lung-Disease. Accessed October 28, 2019.
  2. Data on file, Alpha-1 Genetics Laboratory.