Follow the steps to complete your submission form.

1. Click the 'Get Form' button to access the Antech Diagnostics Dermatopathology Submission Form and open it in your preferred editing tool.
2. Begin by specifying the type of evaluation you require by selecting either DERMPATH for non-dermatologist treatment recommendations or DERM for treatment recommendations from a board-certified veterinary dermatologist.
3. Fill in the patient information section, including the species (dog, cat, or horse), sex (male, female, neutered, or spayed), date, Antech account number, patient name, breed(s) or suspected breed(s), weight in kilograms, age, owner’s first and last name, coat color(s), and whether photos are submitted.
4. In the clinical information section, describe the location of the lesions and indicate if there are any oral or mucosal surfaces affected. Note the seasonal nature of the lesions and specify the duration of symptoms, time spent outside, and types of lesions present.
5. Indicate any additional animals or people affected by the lesions in the household. Provide details regarding any pruritus experienced by the patient.
6. Summarize the clinical history, including travel history, relevant diagnostic test results, and any treatments administered, along with the response to those treatments.
7. Outline the clinical differentials and any specific questions or concerns that you would like the pathologist to address.
8. Once all information has been entered and confirmed for accuracy, proceed to save your changes, download, print or share the completed form as necessary.

Complete the Antech Diagnostics Dermatopathology Submission Form online today for prompt evaluation of your case.