Intended for a U.S. audience.

This order form is for health care professionals (HCPs) only. If you are a patient or caregiver, please visit the find a provider page to get in touch with a specialist.

Find the answers you need with a free* ID YOUR IRD® test kit

Spark Therapeutics is committed to increasing information and knowledge about the diagnosis of a broad range of inherited retinal diseases. The only way to confirm that your patient has an inherited retinal disease (IRD) is with a genetic test. Through the ID YOUR IRD gene testing initiative, Spark Therapeutics supports people living with certain IRDs by providing genetic information that can empower their decisions. The ID YOUR IRD panel tests for mutations in approximately 250** genes that are known to cause IRDs.

Step 1: Place your order by filling out the form below. Step 2: Receive test kits in the mail in approximately 14 days. Step 3: Collect patient sample and return kit. Step 4: Receive results in approximately 14 days. Optional genetic counseling

*This initiative is open to U.S. residents only, subject to the Terms and Conditions of the program.
**For a list of the genes tested, click here.

For whom is the ID YOUR IRD gene testing initiative?

Patients suspected of having an inherited retinal disease (eg., retinitis pigmentosa, Leber congenital amaurosis, Stargardt disease, etc)
Patients who have experienced one or more of the following: nyctalopia, peripheral field loss, central vision loss, deterioration of color vision, or photophobia

Please note that ID YOUR IRD is not appropriate for patients with age-related macular degeneration or ocular/oculocutaneous albinism.

Complete the fields below to place your order.

You may order a total of 4 kits at a time.

This form is for health care professionals only.

Health care professional first name

Health care professional last name

Street address 1

Street address 2 (optional)

City

State

ZIP Code

Institution name (optional)

Email address

Phone number

NPI number

I have identified appropriate patients for ID YOUR IRD gene testing and would like to order test kits:

You may order a total of 4 kits at a time.

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Saliva-sample collection kit(s):

Blood-sample collection kit(s):

Total kit(s) ordered = 0 kits

Please select 1-4 kits

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I authorize Spark Therapeutics, Inc., and companies working with Spark, to contact me by mail, email, and telephone for marketing purposes or to otherwise provide me with information about Spark’s products, services, and programs or other topics of interest, conduct market research or otherwise ask me about my experience with or thoughts about such topics. I understand and agree that any information that I provide may be used by Spark to help develop new products, services, and programs. I understand that my consent is not required as a condition of purchasing or receiving any goods or services from Spark. I understand that I may revoke this authorization and choose not to receive information from Spark by clicking the “unsubscribe” link provided in emails I receive from Spark. I have read and understand the Privacy Policy.