Get Application For Congenital Cardiac Database - Orthopedic ...

This guide provides clear, step-by-step instructions on how to complete the application for the congenital cardiac database, focusing on orthopedic assessments. Designed for users with varying levels of experience, it offers comprehensive insights to ensure accurate and efficient online submission.

Follow the steps to successfully complete your application.

1. Select the 'Get Form' button to access the application, which will open in an easy-to-use online format.
2. Begin by entering the registered name of the animal as indicated in the first section of the form.
3. Provide the registration number, ensuring to check the appropriate box for either AKC or CKC.
4. Fill in the breed and sex of the animal under the respective fields, along with any identification number if applicable.
5. Complete the owner and co-owner information, including names, mailing addresses, and contact details such as phone numbers and email addresses.
6. Indicate the date of birth of the animal and the registration numbers for both the sire and dam.
7. Record the examining veterinarian's information, including their name or veterinary hospital details, as well as the date of evaluation.
8. In the certification section, the owner or authorized representative must sign to confirm the accuracy of the application details.
9. Authorize disclosure of abnormal results by checking the appropriate box if you consent to have those shared publicly.
10. Provide detailed results from the cardiac examination, which includes auscultation findings and any recommendations based on the examination.
11. Fill in the authorization to collect statistical data, confirming if your results can be shared for statistical purposes.
12. Review the specified fees for processing the application and provide payment information as required.
13. Once all sections are filled out, save any changes made to the application, and choose the option to download, print, or share it as needed.

Begin filling out your application online to ensure a thorough assessment of your pet's cardiac health.