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The document is an IDEXX Reference Laboratories Small Animal Request Form designed for veterinary professionals to efficiently submit samples for testing. It includes sections for essential information such as animal identification, owner details, and specific tests requested. The form also outlines various screening options, profiles, and additional tests available for both canine and feline patients, along with instructions for submitting samples and ensuring eligibility for discounts through the IDEXX Advantage Programme.

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Click ‘Get Form’ to open it in our editor.
Begin by entering the 'Date' and 'Animal ID / PIMS Number' at the top of the form. Ensure accuracy as this information is crucial for processing.
Fill in the 'Veterinary Surgeon' and 'Owner’s Name' fields, followed by the 'Address Stamp'. This helps in identifying the responsible parties.
Complete the mandatory fields such as 'Name of Animal', 'Species', 'Age', 'Breed', and 'Sex'. Indicate if the animal is neutered or entire.
Respond to questions regarding travel history and chemotherapy treatment by selecting ‘Yes’ or ‘No’. This information is vital for accurate testing.
Select any relevant tests from the provided options, ensuring you tick boxes for screens that require interpretation.
Review all entered information for completeness before submitting your form. This ensures a smooth processing experience.

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