Online Form Simply follow these steps to send Histovet a sample for analysis. PRINT Date: Email: Owner's Name: Animal's Name: Species: Breed: Sex: Age: Clinic: Clinician: Address: Telephone: Fax / Email: Relevant History (including recent therapy): Lesion Description / Post Mortem Findings: # of Tissue Fragments Submitted: Histology: Cytology: DorsalVentral Tissue Types Submitted: Disease Suspected: What do you really want to know?: Special Requests or Comments