Find the right test for your health.

Complete this short health questionnaire so Dr. Najafi's team can match you with the most relevant salivary diagnostic screening.

Your Information

Basic details so we can get in touch with your results.

Gender
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Pregnancy & Fertility

Oral bacteria can impact fertility and pregnancy outcomes. This helps us identify relevant risk factors.

Are you currently pregnant?
Are you trying to conceive?
History of pregnancy loss?

Oral Health

Understanding your dental history helps us determine which salivary diagnostic test is most relevant.

When was your last dental visit?
Have you been diagnosed with gum disease?
Do your gums bleed when brushing or flossing?
Have you had a salivary diagnostic test before?

Systemic Health Concerns

Select any health areas you're concerned about. Oral bacteria are connected to all of these — salivary testing can reveal hidden risk factors.

Select all health concerns that apply to you:

Screening Submitted

Thank you for completing your intake form. Dr. Najafi's team will review your responses and reach out with personalized next steps — including which salivary diagnostic test is right for you.

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