
INARIAN: HEEKE ADDL - SIPAC 11367 E Purdue Farm Road Dubois, IN 47527-9666 P: 812-678-3401 F: 812-678-3412 ANIMAL: Name Site/Farm/Unit Indiana License # Address Clinic City, State, ZIP Address Site/Farm/Unit Phone City, State, ZIP Phone Results: Fax CONDITION: Good Broken Jar Leaked ADDL BARCODE ADDL USE ONLY # PAGES: DELIVERED: ARRIVED: UPS Chilled FedEx Frozen DHL Room Temp USPS Cold Pack Exp Mail Dry Ice Drop-Off None Pr.
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How to fill out the Purdue University Form CF 749 online
Filling out the Purdue University Form CF 749 online can seem daunting, but this guide will help simplify the process. Follow these step-by-step instructions to ensure you complete the form accurately and efficiently.
Follow the steps to successfully complete your form.
- Press the 'Get Form' button to access the form and open it in your preferred digital format.
- Begin by entering the veterinarian information. Fill in the veterinarian's name and contact details, including the clinic's address and phone number.
- Provide animal information, including the name, site/farm/unit, Indiana license number, address, and phone number. This ensures that the laboratory can reach you if necessary.
- Select the condition of the animal from the options provided. You can indicate if the condition is good, there is a broken jar, or if there is a leak.
- Fill in the ADDL barcode and any pertinent delivery information, such as the method of delivery (UPS, FedEx, etc.), and indicate how the samples should be handled.
- Complete the owner information section, including their name, address, and billing preferences. Be sure to check if the bill should go to the veterinarian, owner, or a third party.
- Document the history section by providing details of the clinical problem and the age of the animal. Include counts of the number of animals on site, sick, and dead to give a comprehensive overview.
- In the sample submission section, list all samples being submitted, including the type, age, and sample information for each animal. Ensure the ID and tube are clearly filled in.
- Review the legal and consent statements regarding specimen handling. Ensure that the owner or their agent agrees with the terms outlined.
- When you have completed all sections, save your changes, and choose to download, print, or share the completed form as needed.
Complete your Purdue University Form CF 749 online today for a smooth submission process.
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