The Birch™ test and Hazel™ NIPS tests are prenatal screenings that provide high-quality prenatal information by utilizing a small blood sample obtained from a finger prick. Since these tests are non-invasive, they pose no risk to you or your baby.

JunoDx tests cannot confirm pregnancy. Please confirm your pregnancy with a medical provider before taking a JunoDx test.

You can use the "Find an OB-GYN" tool from the American College of Obstetricians and Gynecologists (ACOG) to locate a clinician near you: Learn More.

No, a recent miscarriage won’t affect JunoDx test results for this pregnancy. Multiple clinical studieshave shown that fetal DNA clears rapidly from your bloodstream after delivery or pregnancy loss – usually within 1–2 days.

JunoDx accepts samples from multiples pregnancies for all prenatal screening tests.

With Birch™, if at least one of the babies has a Y chromosome, we’ll only be able to tell you that you’re expecting at least one baby boy.

If your Hazel™ or Hazel™ Plus results indicate an increased risk for a chromosome condition and you are pregnant with non-identical twins, we can only tell you that at least one twin is at increased risk. If your results indicate a low risk for chromosome conditions and you’re pregnant with twins, then the likelihood of such conditions is reduced for both babies. Please note that minimal triplet pregnancy data is available for non-invasive prenatal screening, especially if the triplet pregnancy contains multiple placentas.

It’s possible. DNA from the vanished twin’s placenta may remain in your circulation for several weeks after the twin’s demise, meaning that Birch™ and the Hazel™ NIPS tests could potentially detect DNA from the vanished twin. If the vanished twin was male and the remaining twin is female, this could result in an inaccurate fetal sex prediction. If the vanished twin had a chromosome abnormality, this could result in a false positive Hazel™ or Hazel™ Plus result. We recommend speaking with your prenatal care provider or a genetic counselor about non-invasive prenatal screening after a vanishing twin diagnosis.

JunoDx prenatal screening tests have not been validated for use in individuals who have undergone a prior organ or bone marrow transplant, or those who’ve received a blood transfusion within six weeks. Organ donor or blood donor DNA can cause inaccurate interpretation of results, so testing is not recommended.

Otherwise, your Birch™ result is not likely impacted by any medication use.

Certain maternal conditions, such as a cancer diagnosis, may impact Hazel™ and Hazel™ Plus results. Contact Customer Care at [email protected] or 858-201-7154 with any questions about Hazel™ NIPS tests and your medical history.

The easiest way to stay engaged and informed and connect with the Juno team and our community of mommas-to-be is to follow the official Juno social media accounts.

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The JunoDx team includes leading scientists, genetic counselors, medical doctors, and engineers. Before JunoDx, our founding team worked together at Sequenom, Inc., pioneering the development and commercialization of the first cell-free DNA-based NIPS in the United States with the launch of MaterniT21.

We're always looking for new team members to join the JunoDx family! Check to see if we have any available roles: Here

With Birch™, all orders received by 12 pm PT Mon–Fri will ship the same day. Orders placed after 12 pm PT or Sat–Sun will ship the following business day. Once your order is placed, you’ll get a confirmation email letting you know our fulfillment team has received your order. You’ll get another email once your order has been processed and shipped.

If you ordered Hazel™ or Hazel™ Plus directly, your order will be fulfilled within 1 business day (Mon–Fri) of physician approval. Once your Hazel™ or Hazel™ Plus order is placed, you’ll need to provide essential health information required for physician approval. You’ll be notified by email when a physician has approved your order and when your order’s shipped.

If your medical provider has a JunoDx account and ordered Hazel™ or Hazel™ Plus on your behalf prior to 12 pm PT Mon–Fri, then your Hazel™ kit will ship the same day. Orders placed after 12 pm PT or Sat–Sun will ship the following business day. You’ll get email notifications when your medical provider places a Hazel™ or Hazel™ Plus order for you and when your order’s shipped.

JunoDx does not offer weekend delivery at this time, and all shipping times are based on Mon– Fri business days. Tracking information will always be included in shipment notification emails. JunoDx will ship your test kit via UPS Ground or Air (2–day) and provide you with a free return shipping label via UPS Ground, UPS Air (2–day), or FedEx to send your sample back to our labs. You will receive an email once our lab confirms receipt of your sample and begins processing. If you believe your sample is delayed, please contact Customer Care at [email protected] or 858-201-7154.

Should you return your JunoDx test kit, shipping fees are non-refundable.

If you need to change or cancel your order, please contact our Customer Care team ASAP at [email protected] or 858-201-7154. Our fulfillment team processes most orders within one hour.

Hours: 7 AM - 5:30 PM PT (Mon - Sun)

We’re unable to accept returns. If you no longer wish to use your kit, please immediately dispose of the box. You can request a refund within 30 days after receiving your kit by contacting Customer Care at [email protected] or 858-201-7154. We’re happy to process a refund for your unused test kit minus a $30 fee covering the costs of shipping, handling, and processing. Refunds cannot be issued after 30 days from the date of delivery.

Absolutely! Our prenatal screening test kits are good for at least 30 days from the day your order is placed. Leave all packaging intact, and only open the kit when you’re ready to take the test (that’s 7 weeks gestation for Birch™ and 9 weeks gestation for Hazel™ and Hazel™ Plus).

Please note that the Hazel™ and Hazel™ Plus kits are only available to order for personal use.

You can take the Birch™ test starting at 7 weeks into your pregnancy, counting from the first day of your last menstrual period.

You can take Hazel™ NIPS tests starting at 9 weeks into your pregnancy, counting from the first day of your last menstrual period.

Check out our instruction pamphlet, step-by-step video, and other helpful tips and tricks on our How it Works Page. An instructional pamphlet is included within your kit – but don’t forget to schedule your Sample Collection Video Call for the most accurate results.

This quick 15-minute call ensures you receive the highest quality result without delay because our experts will guide you through the collection process!

If you ordered a Hazel™ NIPS test, this is a required step to receive your results. We’re committed to ensuring you receive the most accurate result for your medical screening test! Should you collect your sample without the help of our Customer Care team, reach out to us via our Support Page so we can send you a new test kit (for free!) and schedule your Sample Collection Video Call.

If you ordered a Birch™ test, the Sample Collection Video Call is strongly recommended to ensure a high-quality result. While Birch™ can predict your baby’s sex with over 99% accuracy, human error, and potential contamination can potentially lead to an “inconclusive result.” We’ve found that patients are less likely to get an inconclusive result if they collect their sample with the assistance of our Customer Care team over a Video Call.

At this time, activating your kit is not mandatory to receive a result.

Please place all used lancets in an FDA-cleared sharps disposal container. If an FDA-cleared container is unavailable, please follow your local and state guidelines for disposal alternatives. All biohazardous materials (like used gauze or bandages) should be placed in a fastened baggie – you can reuse the re-sealable white pouch for this purpose! Once used materials are secured, the baggie can be thrown into the garbage.

Birch™ results should be available within 2 business days (Mon–Fri) after our lab receives your sample. You’ll receive an email letting you know when our lab receives your sample and another email when your results are ready to view within your myJuno portal.

Hazel™ and Hazel™ Plus results are typically available within 2-4 business days (Mon–Fri) after our lab receives your sample. You’ll receive an email letting you know when our lab receives your sample and when your results are ready to view within your myJuno portal.

Please contact our Customer Care team if you’re concerned about a potential discrepancy in your JunoDx test results, and we’ll be happy to issue a refund or send you a new kit to confirm the results. Reach us at [email protected] or 858-201-7154.

Birch™ is not eligible for health insurance, FSA funds, or HSA funds.

Hazel™ and Hazel™ Plus insurance billing is coming soon, but we’re unable to bill health insurance at this time. Depending on your plan's policy, you may be eligible for FSA or HSA.

JunoDx accepts all major credit cards (Visa, MasterCard, American Express, Discover) and PayPal.

If you have yet to receive an email confirmation of your order, this usually means that the order still needs to be completed. Please contact our Customer Care team directly regarding any problems with your payment. Email us at [email protected] or 858-201-7154.

No, the Birch™ Test predicts the sex of your baby based on only whether DNA from the Y chromosome is present or absent in your sample. Birch™ does not include screening for any medical or genetic conditions in your pregnancy. If you’re interested in learning about potential genetic conditions in pregnancy, check out JunoDx Hazel™ Non-Invasive Prenatal Screening tests.

The Birch™ test has a >99% accuracy rate when patients follow our easy, video call-assisted collection process. Performance is based on hundreds of finger-prick sample collections across multiple IRB-approved studies. Learn more about test accuracy in our peer-reviewed clinical validation study here: Learn More

Either way! You can order a Hazel™ NIPS test directly through our website. Because Hazel™ and Hazel™ Plus are medical screens, you’ll be asked for additional health information after placing your order. A physician will then review your order, approve it, and we’ll ship your kit to you. Alternatively, your prenatal care provider can order Hazel™ on your behalf directly from Juno. If your provider doesn't have a JunoDx provider account, they can sign up here or contact us directly at [email protected].

Not at this time. Because Hazel™ NIPS tests are medical screening tests that require personal health information as part of the fulfillment process, Hazel™ tests are only available to order for personal use.

Hazel™ NIPS tests can be performed as early as 9 weeks into your pregnancy, counting from the first day of your last menstrual period.

The Hazel™ NIPS test and the Hazel™ NIPS test both screen for trisomy 21, 18, and 13, and predict fetal sex. The Hazel™ NIPS test also screens for the sex chromosome aneuploidies Monosomy X, XXY syndrome, Triple X syndrome, and XYY syndrome.For more information, watch our Hazel™ vs. Hazel™ Plus video here: Learn More

Hazel™ NIPS tests screen for trisomies 21, 18, and 13 with >99% sensitivity and specificity when patients follow our easy, video-assisted process for collection.

In addition to the above, Hazel™ Plus NIPS also screens for the sex chromosome aneuploidies Monosomy X, XXY syndrome, Triple X syndrome, and XYY syndrome with >95% sensitivity when patients follow our easy, video-assisted process for collection.

For more information, please read our peer-reviewed clinical validation study here: Learn More

Yes! If you purchase a Hazel™ NIPS test, you can schedule a genetic counseling video appointment with a licensed and board-certified JunoDx genetic counselor at no additional cost.

If you receive an increased risk result, JunoDx’s licensed and board-certified genetic counselors are available by video appointment to walk you through your results and next steps. We also recommend discussing your Hazel™ results with your doctor since the results of this screening test may impact your prenatal care and birth plan.

You can download a PDF copy of your lab report through your myJuno portal.

You can read our privacy policy here.

Click here to read our privacy policy. JunoDx employs software, hardware, and physical security measures to protect customer data. Internally, strict guidelines and access controls protect data, following industry best practices and HIPAA guidelines. We use two-factor authentication methods to access our systems, and all data on our servers is encrypted at rest or in transit.

The JunoDx laboratory is CLIA-Certified and adheres to the safe and secure storage of all personal health information in a HIPAA-compliant manner.

Your genetic data is protected from health insurance and employment discrimination through theGenetic Information Nondiscrimination Act (GINA) of 2008.

JunoDx does not sell personal health information to any third-party company.

Per HIPAA guidelines, your personal health information is shared only to the extent necessary to process your results and provide them to you.

You have a few options to reach out to our Customer Care team:

1. You can submit an inquiry via the form on our Support page.

2. Reach out to us directly by sending an email to [email protected].

3. Give us a call at 858-201-7154.

Hours: 7 AM - 5:30 PM PT (Mon - Sun)

After creating a new account, you’ll receive an email from [email protected] with the subject line, “Juno Email Verification Code.” Copy the 5-digit code, enter the code into the myJuno activation screen, and you can access your myJuno account.

If you can’t find this email, double-check the entry of your email address. You can change the email address by clicking “I’m having trouble with this” followed by “Change email.” Check your spam/junk mail folder, if the email address was correct. If you still can’t find the email, contact Customer Care at [email protected] or 858-201-7154.

Click on the Forgot Your Password link on the myJuno login page. Enter your registered email address, and hit “Reset Password.”

You'll receive an email from [email protected] with the password reset link. Click the link and reset the password. If you can’t find the email, double-check your Spam folder.

Still experiencing issues accessing your myJuno account? Contact us at [email protected]or 858-201-7154.

If your kit package or contents appear damaged, opened, or tampered with, please contact our Customer Care team immediately at [email protected] or 858-201-7154.