Get Application For Hip/elbow Dysplasia Database - Orthopedic ... - Offa

Filling out the Application For Hip/Elbow Dysplasia Database is an important step for individuals seeking to evaluate the orthopedic health of their pets. This guide provides clear and supportive instructions to ensure a smooth completion of the form.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the application form and open it in your chosen editor.
2. Fill out the previous application number, if applicable. If this is your first submission, this field can be left blank.
3. Enter the registration number, selecting either AKC or CKC as applicable.
4. Provide the registered name, sex, breed, and date of birth (month-day-year) of the animal.
5. If applicable, include the name and number from other registries alongside the animal's color.
6. Input the registration numbers for the sire and dam to trace the lineage.
7. Complete the owner's name, followed by the date the radiograph was taken.
8. Provide the film number, if available, and co-owner's name, if applicable.
9. Include the examining veterinarian’s name or the veterinary hospital and the corresponding mailing address.
10. Fill in the mailing address, including city, state, phone, email, and zip/postal code.
11. Certify the accuracy of the information regarding the submitted radiograph and authorize the release of results by signing the application.
12. If the results are abnormal, indicate your authorization by initialing in the designated box.
13. Provide veterinary information regarding the restraint used during the filming process, ensuring to check the relevant options.
14. Complete the payment section, including credit card information or an alternative payment method before submitting the form.
15. Once all fields are completed, review the application for accuracy and completeness, and then save changes, download, print, or share the form as needed.

Complete your application online to ensure timely processing of your pet's orthopedic evaluation.