Moleculera Labs needs your help with ongoing research. If you or your child have received a physician’s order for testing with the Cunningham Panel™, please consider allowing us to store a portion of the blood specimen for future research studies. If treatment is prescribed, we would also like to follow treatments prescribed and treatment outcomes.

boy with stethoscopeIn order to participate, a patient or legal guardian needs to complete the Informed Consent form. If you did not receive this form with your Specimen Collection Kit, you can download the form below.

Please review it thoroughly and return to us via fax, email or mail. We suggest you retain a copy for your own records. If you have any questions, please feel free to contact us at (405) 239-5250.

Thank you for joining us in our efforts to improve the lives of children and adolescents suffering with Neuropsychiatric Disorders.

Click on the link to access and download the Informed Consent Form

Please return form to:

Moleculera Labs, Inc.
755 Research Parkway, Suite 410
Oklahoma City, OK 73104

Fax: (405) 239-5255

Email: button(2)