Ronald Schultz - University of Wisconsin School of Veterinary Medicine 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the owner's name and address in the designated fields. Ensure accuracy as this information is crucial for communication.
3. Input the owner's email and veterinarian's email. Remember, serology results will be sent to both parties.
4. Fill in your pet's name, age, breed, and sex by selecting the appropriate option from the provided choices.
5. Indicate the date of your pet's last vaccination and specify if this sample is for a NOMOGRAPH by checking 'Yes' or 'No'.
6. List any known vaccine brands or manufacturers that your dog has received. This helps ensure accurate testing.
7. For each vaccine type listed, indicate whether your dog has received it by checking 'Yes' or 'No', and provide dates if known.
8. Answer questions regarding household dogs, kennel boarding, and training courses to provide comprehensive background information.
9. Finally, remember to enclose a check made out to the University of Wisconsin for $25.00 before submitting your form.

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