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Our BusinessMerchandise SalesAbout Gene-CheckerDownload Gene-Checker Consent Form [for Brugada Syndrome test].

Download Gene-Checker Consent Form [for Brugada Syndrome test].

Download Gene-Checker Consent Form

If you have lost the Gene-Checker consent form, you can download it here.

Brugada syndrome (genetic condition resulting in increased risk of sudden cardiac arrest)
Download Gene Test Kit Consent Form

letter of intent
Download consent form (pdf)

Sample Consent Form

Japanese translation of consent form