
E) Leptospira 4-way (canicola, icterohaemorrhagiae, grippotyphosa, pomona) Canine Corona Virus Rabies Canine Influenza Others Bordetella (kennel cough) If yes, please indicate if intranasal (IN) vaccine or injectable (IJ) vaccine. 2-way (Bordetella, CPiV) 3-way (Bordetella, CPiV, CAV-2) No Date (if known) Info. Not Available How many dogs live in this household? Does this dog board at a commercial kennel? Yes No Whe.
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How to fill out the WI Dr. R.D. Schultz Laboratory Canine Serum Submission Form online
Filling out the WI Dr. R.D. Schultz Laboratory Canine Serum Submission Form is a straightforward process that helps in the assessment of your dog's immunity through serology tests. This guide provides step-by-step instructions to assist you in completing the form accurately and efficiently.
Follow the steps to complete the submission form.
- Press the ‘Get Form’ button to access the Canine Serum Submission Form and open it in your chosen editor.
- In the first section, enter the owner's name and address accurately. This is essential for identification and communication purposes.
- Provide the owner's email address and the veterinarian’s email address. Ensure both emails are entered correctly, as serology results will be sent to these addresses.
- Fill in the pet's name, age, breed, and select the pet's sex from the given options: Male, Male/Neutered, Female, or Female/Spayed.
- Indicate the date of the last vaccination and specify if this sample is for a NOMOGRAPH by selecting 'Yes' or 'No'.
- List the brand(s)/manufacturer(s) of the vaccines your dog has received, if known. This information aids in accurate testing.
- For each listed vaccine type, indicate if your dog has received it by checking 'Yes' or 'No', and if known, provide the date when it was received.
- Answer questions regarding the number of dogs in your household and indicate if your dog boards at a commercial kennel, including the last time it was at one.
- Specify if your dog attends training courses or daycare, answering 'Yes' or 'No' to that question.
- Lastly, ensure to enclose a check made out to the University of Wisconsin for $25.00 to cover the cost of CDV and CPV-2 titers.
- Once all fields are completed, review the information for accuracy. Save changes, and then download, print, or share the form as needed.
Complete your submission form online today to ensure your dog's health assessment is processed promptly.
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