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AVIAN HEALTH SUBMISSION FORM

AVIAN HEALTH SUBMISSION FORM 2025

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4.8 out of 5

190 votes

The document is an Avian Health Submission Form used by the Indiana Animal Disease Diagnostic Laboratories at Purdue University. It collects essential information from veterinarians regarding animal health conditions, sample submissions, and testing requests for avian diseases. The form includes sections for veterinarian and owner details, clinical history, sample types, and specific tests to be conducted, ensuring compliance with diagnostic procedures and legal agreements.

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Click ‘Get Form’ to open the AVIAN HEALTH SUBMISSION FORM in the editor.
Begin by filling out the VETERINARIAN section. Enter the veterinarian's name, address, and contact information accurately to ensure proper communication.
In the ANIMAL section, provide details such as the animal's name, site or farm unit, Indiana License number, and contact information for the site or farm. This information is crucial for tracking and processing.
Indicate the CONDITION of the animal by checking one of the options provided (e.g., Good, Broken Jar). This helps in assessing the urgency of testing.
Complete the OWNER section with accurate details about the owner including their name and address. Specify billing preferences if applicable.
Fill out the HISTORY section by detailing clinical problems and any suspected diseases. This will guide diagnostic decisions.
In SAMPLES SUBMITTED, list all samples along with their respective details like ID, breed, age, and sample type. Ensure accuracy for effective testing.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (190 Votes)
2018	4.2 Satisfied (46 Votes)

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