Activation Form

Please fill out the form below to activate your HomePaternity Test Kit.

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

For account creation

Phone(Required)

Kit Registration Barcode(Required)

12-digit code consisting numbers and letters displayed on your test kit.

When results are complete, you will use the email above and information below to login to the portal.

Password(Required)

Confirm Password(Required)

Security Question(Required)

Security Answer(Required)