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Financial assistance forms

We offer a robust Financial Assistance Program to help reduce the potential out-of-pocket costs associated with testing. Our Financial Assistance Program webpage offers additional information and a tool to estimate the level of assistance a patient may qualify for.

Patients may apply for the Financial Assistance Program one week after their sample has been collected and sent to GeneDx. Alternatively, they may apply when they receive their bill (all final bills include a financial assistance application form to ensure easy access).

When they are ready to apply, patients can complete and sign the electronic Financial Assistance Application in English or Spanish.

Alternatively, patients can download or print the Financial Assistance Application in English or Spanish, and then email the completed, signed application to billing@genedx.com. We accept electronically filled PDFs, scanned copies and photos.