Get KS KSVDL Porcine Submission Form 2020-2023
K state. edu ANIMAL ID Age/Lot Observation Form KSVDL 010. 1 version 6/22/2017 Page 1 of 2 BACTERIOLOGY/MYCOLOGY SEROLOGY/VIROLOGY Serum Only Test Sample Brucella abortus default test is the card test Organism s suspected Antibiotics given Porcine Form days ago None Pseudorabies virus PRV Which antibiotic Circovirus type 2 Quantitative IFA Aerobic Culture Leptospirosis 6 Serovar MAT Aerobic Susceptibility Mycoplasma hyopneumoniae IDEXX ELISA Porcine parvovirus HI PRRSV IDEXX ELISA PEDV IFA VIROLOGY Rotavirus A ELISA fecal only Virus Isolation Suspected viral pathogen Blood Feces Swab Serum Tissue Influenza Type A SIV ELISA Swine Influenza SHI-0126 H1N1 HISTOPATHOLOGY Electron microscopy Histopathology IHC Pathogen MOLECULAR DIAGNOSTICS PCR Please visit our test and fees at www. KSVDL.org for current tests prices and acceptable samples. Actinobacillus pleuropneumoniae APP Serotyping bacterial culture required Haemophilus parasuis Oral Fluids Species Specific PCR Bacterial Isolates Lawsonia intracellularis Intestines Leptospira pathogenic Urine Whole Blood infection must be 7 days duration Lung Joint Fluid Mycoplasma Species Porcine Circovirus 2 Test Individually Pool Samples/pool Max 5 Porcine Epidemic Diarrhea Virus PEDv / Swine Deltacorona Virus SDCv Feed Porcine Respiratory and Reproductive Syndrome Virus PRRSv North American European Whole Blood EDTA Porcine Rotavirus Multiplex Real-Time Fresh Tissue Nasal Swab Transmissible Gastroenteritis Virus TGEv I request sequencing of any PCR positive samples OPENED BY Courier Record Courier FedEx Hand Delivered Mail Coolant Record Coolant Pack Dry Ice Frozen Good Broken Leaked Sample Condition UPS Reset Form This submission form is a legal binding contract between KSVDL and the submitting entity. All specimens animals and/or biological materials submitted to the KSVDL as well as any test results diagnoses or other analyses resulting from these submissions will become the property of KSVDL. All fees incurred are the responsibility of the submitting entity. PORCINE SUBMISSION FORM Kansas State Veterinary Diagnostic Laboratory 1800 Denison Avenue Mosier D117 Manhattan KS 66506 Phone 866 512-5650 Fax 785 532-4835 BILL TO Clinic Owner Yes Third Party to Receive Results Third Party Panel Please download/save and use Adobe Acrobat to complete form. Many web browsers cannot fill form fields No Third Party Contact Info CLINIC OWNER/PRODUCER ACCOUNT Veterinarian Owner Name Clinic/Company Business / Premise Address City State Phone Fax Accession Number Laboratory Use Only Case Coordinator ZIP E-mail Cell Fax or E-mail Send Results Via Check all that apply Also Send Results to Owner ANIMAL INFORMATION Site/Farm Name Premise ID Reference ID Site Address Premises Type SPECIMEN S SUBMITTED Collection Date Reason for Test Premise ID Barcode Number of Samples General Diagnostics Surveillance County Other CLINICAL HISTORY COMMENTS Pathologist s Discretion - The diagnostician will select the best testing based upon the history and clinical signs you describe in this section. ANIMAL IDENTIFICATION INFORMATION Spreadsheets including animal ID information may be attached to this form or e-mailed to receiving vet.
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