Author Solutions Biometric Screening Home Test Kits

The test kit will be delivered to your home where you can collect a small blood sample, complete the health screening form (including your biometrics), and send the results back in the pre-paid envelope. Kits must be ordered by 2/14/2025 and returned by 3/14/2025.Follow these instructions:
- Submit order for at-home test kit using the form below. Only one kit per person is allowed.
- Each kit request submitted needs to be completed for the intended recipient of the kit.
- Once your request has been received via this site, you will receive your at-home test kit within 7-10 days.
- Follow the instructions within the kit; make sure you collect enough blood and fill out the biometrics section at the bottom of the form.
- Mail back your sample.
- You will receive a text message when your results are available to view online.
If you don’t receive a home test kit within 10 days days, please email datasupport@totalwellnesshealth.com. Please double check that your mailing address is correct before submitting the order form. All fields are required.

Name*

First

Last
Date of Birth (mm/dd/yyyy)*

MM slash DD slash YYYY
This field is hidden when viewing the form

Sex Assigned at Birth (M/F)*
Sex Assigned at Birth*
- Male
- Female
Address*

Street Address

Address Line 2

City

State

ZIP Code
Address*

Street Address

Address Line 2

City

State

ZIP Code
Please note, kits cannot be shipped to a New York address.
Phone (###) ###-####*
Email (For order confirmation)*