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Antech Diagnostics Dermatopathology Submission Form 2016

Get Antech Diagnostics Dermatopathology Submission Form 2016

Below and add detail where requested. Photos of active lesions will greatly enhance the value of the dermatopathology report. Please do not submit copies of your medical records. If you have other laboratory work you would like us to consider, please attach. PATIENT INFO Species: Dog Horse Sex: Female Male Cat Other (specify): FS MC Date: Email address: Antech account #: Patient name: Breed: Are others in the home affected? None affected Age: Yes, other animals Yes, humans affected.

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