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Corigen Medication Safety Program


Medications do not work in the same way for everyone.  Your DNA determines how safe and effective many medications will be for you.  New genetic tests can help pharmacists and providers make better choices for you.

The testing provided by CLS will produce an analysis of your medications and your DNA.  Empowered with these test results, specially trained pharmacists will then work directly with you and your provider to make genetically informed, personalized decisions about what is right for your health that could minimize adverse drug reactions and side effects, improve how you feel every day, and reduce the need for risky and costly trial-and-error medication prescribing.

How it works

1. Enroll online to have a DNA test kit shipped to your home.  Enrollment generally takes less than 3 minutes. Your test request and enrollment answers will be evaluated by our partner PWNHealth, an independent physician network, for approval.  If for some reason your order is not approved, you will be notified directly.

2. Once the kit arrives, you will find instructions for the collection of a small amount of saliva.

3. Seal your sample in the box provided and drop it in your mailbox. Return labeling and postage have been provided.

4. When we receive your saliva sample, it typically takes about 1-2 weeks to process and analyze your DNA. The results of your DNA test will be analyzed by Coriell Life Sciences and sent for review to a team of pharmacists. After that, you will receive an email alert to schedule a consultation with one of our pharmacists.  

5. A pharmacist will then call you to review your results and discuss any next steps.

6. A pharmacist will also contact your treating provider to review the results and discuss any indicated medication changes.




Am I eligible to participate in this Program?

Please complete the following fields to determine if you are eligible to participate in this Program.

Name*
Date of Birth*
Biological Sex*
Mailing Address*




Questions

Check out our FAQs page or contact our Enrollment Support Center at (888) 456-9184 Monday - Friday 9 a.m. to 5 p.m. EST or via enrollment@coriell.com


Privacy Practices

To review our notice of privacy practices, please visit https://www.coriell.com/notice-of-privacy-practices/.

Contact Information

This information will be used to mail a DNA test kit to you, alert you about the status of your results, and ask about your experience in the Program.


The contact information provided will be used to alert you about your sample status.  For participants sharing contact information (e.g. a family using the same email address), multiple notifications may be received for each individual.

Coriell Life Sciences will alert you about the status of your results and inquire about your experience.
Coriell Life Sciences may alert you about the status of your results and inquire about your experience via call or text.
Please enter the 14-digit barcode found on the side of your collection device.

Medical Information

The information provided in this section will be used by:

(1) PWNHealth, an independent network of licensed physicians, to evaluate your test request for approval

(2) Coriell Life Sciences to analyze your results

(3) A team of pharmacists to review any risks associated with your current medications

This information will not be shared with HealthTrust or your Employer.

Medical Information - Clinical Evaluation

An independent physician network will review your responses and elect to authorize your DNA test.

Medical Information - Current Medications

Please use the medication picker below to add all prescription and over-the-counter medications, vitamins, and supplements to your medication regimen.  Your responses will be shared with the independent physician network to authorize your test.

Current Medications, Vitamins, & Supplements

Drug Name ID Delete

Medical Information - Lifestyle

This information will be shared with a pharmacist to evaluate any risk associated with your current drug regimen.  This information will not be shared with HealthTrust or your employer. 

If you are unsure about an option, please elect that option for a pharmacist to review during your consultation. 

Which of the following do you regularly ingest?

Thank you for your interest in the Corigen® Medication Safety Program. At this time, our physician network has determined that this program may not be beneficial to you.


Should you prefer to enroll through your primary care physician, please contact us at (888) 456-9184 or enrollment@coriell.com.

Authorization and Acknowledgement

The Corigen® Medication Safety Program is voluntary and available to eligible participants, as determined by your employer and/or health benefits provider.  The information from your genetic test will be used to provide you with information to help you understand how your body may respond to specific drugs. You are also encouraged to share your results or concerns with your doctor.  

The Program is administered according to federal rules, including the Americans with Disabilities Act (ADA), the Genetic Information Nondiscrimination Act of 2008 (GINA), and the Health Insurance Portability and Accountability Act (HIPAA), as applicable, among others.  I understand that Coriell Life Sciences will not disclose any test results or “Genetic Information” as that term is defined by GINA  to my health benefits provider.  

The genetic test for this program is optional.  You may elect to participate without providing a sample for analysis. You will receive a consultation with a pharmacist to review your current medications and any non-genetic risks. If you do not submit a DNA sample, you will not receive a genetic report or receive any recommendations based on the genetic risks of your current drug regimen, and you will not receive a Medication Compatibility Report.  Please note that the submission of this form will prompt a DNA collection kit to be sent to your home.  If you wish to opt out of the DNA testing process, please contact our Enrollment Support Center at (888) 456-9184.

You are not required to participate in the Corigen Medication Safety Program.

  • I understand the statements above and consent, on my own behalf or on behalf of my minor dependents, to provide voluntary and knowing authorization for the Corigen program to acquire my genetic information through voluntary participation in the program.
  • I am the patient or authorized representative of the patient and authorized to order a medical test for the patient.
  • I have read and agree to the PWNHealth Terms of Use and PWNHealth Notice of Privacy Practices found HERE.
  • I have read and understand the Coriell Life Sciences Notice of Privacy Practices and acknowledge that I have been provided access to this document HERE.
  • I consent to email, text, and telephonic communication about the Program, which may include contact from companies working on behalf of the Program.
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Guardian Information

Guardian Name
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