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Get Submission Form - Veterinary Diagnostic Laboratory - University Of ...

Laboratory Testing Form For office use only Attending Veterinarian Contact Information - Owner Owner Name Veterinarian Company Clinic Address Address City State Phone Zip City Fax State Phone Zip Fax Email Email For Lab Use Only Sample /Specimen Arrived: Animal Information Patient Name Clinic's Patient ID (if any) Is this Horse Registered? Yes If Yes, Registered Name Year of Birth Intact male Castrated male Female Recreational Trail Riding Duration: Not Ridden Plea.

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