Testing Supplies

Testing Supplies

Welcome to Exagen, the exclusive provider of AVISE^® testing.
There is no cost to the provider / office to request testing supplies or patient education materials.

To print a test requisition, click here

To request specimen collection kits or patient information brochures, please fill out the information below or call 888.452.1522:

Provider*
First Last
NPI Number
Practice Name
Address*
Street Address
Zip Code*
Phone*
Primary office contact if not provider
Email
Number of AVISE Kits*
Patient Information Brochures*
Fax Number for Results*
Message