See reverse for important information regarding test result delivery 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the Owner Name and Animal Name/ID fields. Ensure accuracy as this information is crucial for identification.
3. Select the appropriate species from the options provided (Canine, Feline, etc.) and complete the DCPAH Account # and Submitting Veterinarian sections.
4. Fill in the Clinic Name, Address, City, State, Zip, Telephone, Fax, and Email fields to ensure proper communication.
5. Indicate the type of biopsy or necropsy being submitted by checking the relevant boxes and providing details such as Date Samples Taken and Weight.
6. Complete any additional sections related to tests desired on fresh tissues or specific requests for multiple animal submissions.
7. Review all entered information for accuracy before submitting your form through our platform.

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