We can ship outside the Continental United States at the expense to the patient. However, we cannot guarantee timely arrival of the package to the patient. If the patient is returning the specimen from outside the Continental United States, our prepaid FedEx return labels will not work for this and patient would be responsible for getting the kit returned to the lab at their own expense. We also cannot guarantee timely receipt by the lab and processing of results as there are likely to be delays in customs and otherwise.