Ordering
the Galleri® test for your patients

How to place an order

TRF with Galleri specimen collection kit

Include a completed Test Requisition Form (TRF) in the collection kit containing the patient’s sample. Please follow the mailing instructions included in the collection kit.

Online

Place an order through the Provider Portal by submitting an electronic TRF.

Existing customers can request collection kits or set up a Provider Portal account by contacting GRAIL Customer Service.

First time ordering the Galleri test?

If you are a new customer and would like to order collection kits for your office, you may request up to 3 collection kits through our online form. You can also contact GRAIL Customer Service.


Important Note: This form is solely intended for healthcare professionals.

To request collection kits:

How to complete the Test Requisition Form:

Properly filling out the Test Requisition Form (TRF) for the Galleri test is important to ensure that your patients’ samples are processed in a timely manner. 

How can we assist?

If you have questions or would like to know more,
contact us or see our FAQs.

Sign up for more information about the Galleri test