Carrier Screening Program Registration

Use this form to register for the Norton & Elaine Sarnoff Center for Jewish Genetics’ carrier screening program. After you register and complete the pre-screening education course, you will receive an email from Chicago Genetic Consultants (CGC) to complete an intake form. CGC will then place an order for the genetic test and Myriad Genetics will send you a saliva sample collection kit to your home to be completed at your convenience. Please note, the kits have an expiration date so it is better to complete the collection sooner rather than later. You will receive results from a genetic counselor 2-3 weeks after you return the kit.

If you experience any difficulties with this online form, please contact to request a fillable PDF version.

Learn more about the program fee and cost of the test.

Learn more about the disorders on the panel.

Basic Information

* Indicates required field
Why can't I select a different state?
‡ If you or your partner is pregnant, please notify the Center so that our genetic counselor can reach out to you to discuss screening options.
How did you hear about the Norton & Elaine Sarnoff Center for Jewish Genetics? Check all that apply.