Submit Your Hair Sample Details

Please fill in the submission form with each individuals testing details.
Once you have submitted all of your patients for testing you will be able to download your printable PDF inlcuding your unique sample barcode and instructions for completing your test.

Your Journey:

TMI Testing > Submission Form

60% SALE NOW ON!

SAVE UP TO 60% OFF TESTS

x

img.wp-smiley,img.emoji{display:inline !important;border:none !important;box-shadow:none !important;height:1em !important;width:1em !important;margin:0 .07em !important;vertical-align:-.1em !important;background:none !important;padding:0 !important;}.was-price{font-size:15px;color:black;}.person{font-size:15px;color:black;}.now-price{font-size:16px;font-weight:bold;color:black;}.gw-go-body{background-color:#489a91 !important;}.eegw-go-body-cell{background-color:#489a91 !important;}.gw-go-col.gw-go-clean-style13 .gw-go-body > li{background:#489a91;border-top-color:#489a91;color:white;}.person{font-size:15px;color:black;}.woocommerce form .form-row .required{visibility:visible;}div.nsl-container[data-align="left"]{text-align:left;}div.nsl-container[data-align="center"]{text-align:center;}div.nsl-container[data-align="right"]{text-align:right;}div.nsl-container .nsl-container-buttons a{text-decoration:none !important;box-shadow:none !important;border:0;}div.nsl-container .nsl-container-buttons{display:flex;padding:5px 0;}div.nsl-container-block .nsl-container-buttons{flex-flow:column;align-items:center;}div.nsl-container-block .nsl-container-buttons a{flex:1 1 auto;display:block;margin:5px 0;max-width:280px;width:100%;}div.nsl-container-inline{margin:-5px;text-align:left;}div.nsl-container-inline .nsl-container-buttons{justify-content:center;flex-wrap:wrap;}div.nsl-container-inline .nsl-container-buttons a{margin:5px;display:inline-block;}div.nsl-container-grid .nsl-container-buttons{flex-flow:row;align-items:center;flex-wrap:wrap;}div.nsl-container-grid .nsl-container-buttons a{flex:1 1 auto;display:block;margin:5px;max-width:280px;width:100%;}@media only screen and (min-width: 650px){div.nsl-container-grid .nsl-container-buttons a{width:auto;}}div.nsl-container .nsl-button{cursor:pointer;vertical-align:top;border-radius:4px;}div.nsl-container .nsl-button-default{color:#fff;display:flex;}div.nsl-container .nsl-button-icon{display:inline-block;}div.nsl-container .nsl-button-svg-container{flex:0 0 auto;padding:8px;display:flex;}div.nsl-container svg{height:24px;width:24px;vertical-align:top;}div.nsl-container .nsl-button-default div.nsl-button-label-container{margin:0 24px 0 12px;padding:10px 0;font-family:Helvetica,Arial,sans-serif;font-size:16px;line-height:20px;letter-spacing:.25px;overflow:hidden;text-align:center;text-overflow:clip;white-space:nowrap;flex:1 1 auto;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;text-transform:none;display:inline-block;}div.nsl-container .nsl-button-google[data-skin="dark"] .nsl-button-svg-container{margin:1px;padding:7px;border-radius:3px;background:#fff;}div.nsl-container .nsl-button-google[data-skin="light"]{border-radius:1px;box-shadow:0 1px 5px 0 rgba(0,0,0,.25);color:rgba(0,0,0,.54);}div.nsl-container .nsl-button-apple .nsl-button-svg-container{padding:0 6px;}div.nsl-container .nsl-button-apple .nsl-button-svg-container svg{height:40px;width:auto;}div.nsl-container .nsl-button-apple[data-skin="light"]{color:#000;box-shadow:inset 0 0 0 1px #000;}div.nsl-container .nsl-button-facebook[data-skin="white"]{color:#000;box-shadow:inset 0 0 0 1px #000;}div.nsl-container .nsl-button-facebook[data-skin="light"]{color:#1877f2;box-shadow:inset 0 0 0 1px #1877f2;}div.nsl-container .nsl-button-apple div.nsl-button-label-container{font-size:17px;font-family:-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica,Arial,sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol";}.nsl-clear{clear:both;}div.nsl-container-block[data-align="left"] .nsl-container-buttons{align-items:flex-start;}div.nsl-container-block[data-align="center"] .nsl-container-buttons{align-items:center;}div.nsl-container-block[data-align="right"] .nsl-container-buttons{align-items:flex-end;}div.nsl-container-inline[data-align="left"] .nsl-container-buttons{justify-content:flex-start;}div.nsl-container-inline[data-align="center"] .nsl-container-buttons{justify-content:center;}div.nsl-container-inline[data-align="right"] .nsl-container-buttons{justify-content:flex-end;}div.nsl-container-grid[data-align="left"] .nsl-container-buttons{justify-content:flex-start;}div.nsl-container-grid[data-align="center"] .nsl-container-buttons{justify-content:center;}div.nsl-container-grid[data-align="right"] .nsl-container-buttons{justify-content:flex-end;}div.nsl-container-grid[data-align="space-around"] .nsl-container-buttons{justify-content:space-around;}div.nsl-container-grid[data-align="space-between"] .nsl-container-buttons{justify-content:space-between;}.xt_woovs-archives-product .variations_form.xt_woovs-support{text-align:left;}.xt_woovs-single-product .xt_woovs-swatches .swatch.swatch-label{min-width:50px;height:30px;line-height:30px;font-size:13px;}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-2 .swatch.swatch-label{min-width:calc(50px * 1.2);height:calc(30px * 1.2);line-height:calc(30px * 1.2);font-size:calc(13px * 1.2);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-3 .swatch.swatch-label{min-width:calc(50px * 1.3);height:calc(30px * 1.5);line-height:calc(30px * 1.5);font-size:calc(13px * 1.3);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-4 .swatch.swatch-label{min-width:calc(50px * 1.4);height:calc(30px * 1.8);line-height:calc(30px * 1.8);font-size:calc(13px * 1.4);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-5 .swatch.swatch-label{min-width:calc(50px * 1.5);height:calc(30px * 2.1);line-height:calc(30px * 2.1);font-size:calc(13px * 1.5);}.xt_woovs-single-product .xt_woovs-swatches .swatch.swatch-color .swatch-inner{width:50px;height:50px;}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-2 .swatch.swatch-color .swatch-inner{width:calc(50px * 1.2);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-3 .swatch.swatch-color .swatch-inner{width:calc(50px * 1.5);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-4 .swatch.swatch-color .swatch-inner{width:calc(50px * 1.8);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-5 .swatch.swatch-color .swatch-inner{width:calc(50px * 2.1);}.xt_woovs-single-product .xt_woovs-swatches .swatch.swatch-image{width:50px;}.xt_woovs-single-product .xt_woovs-swatches .swatch.swatch-image figcaption{font-size:calc(50px * .15);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-2 .swatch.swatch-image{width:calc(50px * 1.2);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-2 .swatch.swatch-image figcaption{font-size:calc(( 50px * 1.2 ) * .15);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-3 .swatch.swatch-image{width:calc(50px * 1.5);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-3 .swatch.swatch-image figcaption{font-size:calc(( 50px * 1.5 ) * .15);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-4 .swatch.swatch-image{width:calc(50px * 1.8);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-4 .swatch.swatch-image figcaption{font-size:calc(( 50px * 1.8 ) * .15);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-5 .swatch.swatch-image{width:calc(50px * 2.1);}.xt_woovs-single-product .xt_woovs-swatches.xt_woovs-featured-5 .swatch.swatch-image figcaption{font-size:calc(( 50px * 2.1 ) * .15);}.submission-form-section{padding:50px 0px;}.submission-form-section input{width:200px;padding:10px;display:block;margin-bottom:15px;border:1px solid black;border-radius:2px;}.submission-form-section select{display:block;width:200px;height:36px;border:1px solid black;border-radius:2px;margin-bottom:15px;}.submission-form-section button[type='submit']{width:200px;height:36px;background:#56b9da;color:white;font-weight:700;text-transform:uppercase;font-size:16px;border-radius:2px;border:1px solid black;}.submission-form-section .form-section{margin-bottom:25px;}.submission-form-section .red,.submission-form-section .error-message{color:red;}.submission-form-section h1{display:block;width:100%;padding:50px 0px;line-height:50px;background:url("https://cdn-djebg.nitrocdn.com/EGyihmHTWFtilsFOuDmYEPBeysbSMvQN/assets/static/optimized/rev-c14fa39/wp-content/plugins/kp-pdf/images/hair-2.jpg");background-position:center center;background-repeat:no-repeat;background-size:cover;text-align:center;color:#fff;font-weight:700;font-size:50px;text-shadow:0px 0px 5px #000;border-radius:5px;}.submission-form-section p{line-height:30px;}#breadcrumbs{padding:25px 0;background:#fff;border-top:solid 2px #f6f6f6;border-bottom:solid 2px #f6f6f6;}#breadcrumbs .container{display:flex;align-items:center;position:relative;left:-5px;flex-wrap:wrap;}#breadcrumbs span{margin:0 5px;}#breadcrumbs a{text-decoration:underline;}.crumbs{display:flex;align-items:center;flex-wrap:wrap;}.journey{color:#d81d58;}#breadcrumbs a.post{padding:0 !important;}@media (max-width: 600px){#breadcrumbs{padding:15px 0;}#breadcrumbs span{margin:10px 5px 10px 5px;}#breadcrumbs a{margin:0;padding:0;}.crumbs{position:relative;left:-10px;padding:5px 0 0;}.journey{font-size:1.1rem;}}#mc_embed_signup{background:#bcbcbc;clear:left;font:14px Helvetica,Arial,sans-serif;}#mc-embedded-subscribe{background-color:#d81d58 !important;font-size:18px !important;text-align:center !important;padding:10px 10px 10px !important;-moz-transition:all .5s !important;-webkit-transition:all .5s !important;transition:all .5s !important;color:white !important;cursor:pointer !important;border-color:#3fbabc !important;font-weight:bold !important;border-radius:8px !important;height:auto !important;line-height:21px !important;width:228px !important;}#mc-embedded-subscribe:hover{background-color:white !important;color:black !important;font-size:25px;}#mce-EMAIL{padding:12px 20px !important;margin:8px 0 !important;display:inline-block !important;border:1px solid #ccc !important;border-radius:4px !important;box-sizing:border-box !important;}@media screen and (max-width: 800px){#mce-EMAIL{width:140px;}}@media screen and (max-width: 800px){#mc-embedded-subscribe{width:140px !important;}}.wcct_footer_area_563731{background-color:#d33;}.wcct_footer_area_563731 .wcct_left_text .wcct_h3{color:#fff;font-size:24px;line-height:30px;}.wcct_footer_area_563731 .wcct_left_text p,.wcct_footer_area_563731 .wcct_left_text,.wcct_footer_area_563731 .wcct_left_text div,.wcct_footer_area_563731 .wcct_left_text .wcct_countdown_timer{color:#fff;font-size:15px;line-height:21px;}@media (max-width: 767px){.wcct_footer_area_563731 .wcct_left_text .wcct_h3{color:#fff;font-size:22px;line-height:27px;}.wcct_footer_area_563731 .wcct_left_text p,.wcct_footer_area_563731 .wcct_left_text,.wcct_footer_area_563731 .wcct_left_text div,.wcct_footer_area_563731 .wcct_left_text .wcct_countdown_timer{color:#fff;font-size:14px;line-height:18px;}}.wcct_footer_area_563731 .wcct_close{color:#fff;border:1px solid #fff;}.wcct_ctsf_id_563731_0_1.wcct_countdown_round_fill .wcct_timer_wrap .wcct_round_wrap{background:#d33;color:#fff;height:56px;width:56px;}.wcct_ctsf_id_563731_0_1.wcct_countdown_round_fill .wcct_timer_wrap .wcct_round_wrap .wcct_wrap_border{border-color:#d33;}.wcct_ctsf_id_563731_0_1.wcct_countdown_round_fill .wcct_timer_wrap .wcct_round_wrap span{font-size:18px;}.wcct_ctsf_id_563731_0_1.wcct_countdown_round_fill .wcct_timer_wrap .wcct_round_wrap .wcct_table_cell{font-size:13px;}

Submit Your Hair Sample Details

1. Order details

2. Personal details

3. Please provide an email address to recieve the test results: