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Guide to Screening Test Services
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Request for Screening Test
Lab for Veterinary Cancer Care
How to Request Test
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Submit Test Request
Submit Test Request
*
is a required item.
* Please be sure to enter the email of the veterinarian for the submission of test and notification of the results.
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Country
*
Hospital Address
*
Hospital name
*
Chart No.
*
Veterinarian name
*
Guardian name
*
Veterinarian Email
*
Name of animal
*
Gender
F
M
SF
CM
Hospital Tel. No.
*
Website
Hospital Email
*
Veterinarian License No.
*
Sample type
*
Blood
Urine
Tissue
Other
Clinical information
Attached Request form
*
※ Accessory capacity limit 10 mB
secure text