Submission Process

All fields marked with * must be filled in

Date (yyyy/mm/dd)

1. Owner's name*

2. Animal's name*

3. Species

4. Breed

5. Sex*

Male

Male

6. Age*

7. Clinic

8. Clinician

9. Address*

10. Email address*

11. Telephone*

12. Fax

13. Relevant history (including recent therapy)*

14. Lesion description / Post mortem findings

15. Number of tissues fragments submitted

16. Tissue type submitted

17. Test requested

19. Disease suspected

20. What do you really want to know?

21. Special requests or comments




ISO