Claim Your Test Kits

By proceeding with this form, you have confirmed with our team that we can ship to your country. If not, we recommend contacting our team first.

If you are claiming the test kits for a family member, please remember to put THEIR information below (i.e., first name, last name, sex, date of birth, etc.), and then provide your name at the bottom as the "Member associated with the test claim."

Please check that all the details are correct before submitting the form to prevent delays and issues with your test claim. DO NOT use AUTOFILL to fill the form out.

First Name

Last Name

Sex

Date of Birth ( e.g. Jan. 1, 1989)

Name of Guardian (if person doing the test is a minor)

Phone Number

Address

Address Line 2

City

State

Country

Zip Code

Name of BBP Member Associated With This Test Claim (IF for an add-on)

Form submission[]

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Claim Your Test Kits

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