Lynx Dx CARES
Financial Assistance Application

Complete this application if you have trouble paying your MyProstateScore 2.0 (MPS2) bill from Lynx Dx. Your response will help us determine the assistance you may qualify for.

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If you have any questions, please call (844) 534-3510 8 a.m.-8 p.m. ET,
Monday through Friday.

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Patient Information

Name*
Date of Birth*

Acknowledgement

I hereby acknowledge that:*
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Lynx Dx will contact you once your application is reviewed. In the meantime, do not yet pay your bill.