PAN AMERICAN VET LABS SAMPLE SUBMISSION FORM

166 Brushy Creek Trail http://www.pavlab.com

Hutto, TX 78634

Phone: 800-856-9655 LAB USE ONLY

Submission #:

Date Received:

Owners Name:

Veterinarians Name:

Herd/Flock Identification:

1cc Blood required. Each sample tube must be clearly identified.

Please complete a separate form for each species Species Number of Samples Ovine __________ Caprine __________ Bovine __________ Equine __________ Canine __________ Other __________ __________	Please check services desired. 1. ______ Ovine Progressive Pneumonia (OPP) 2. ______ Caprine Arthritis Encephalitis (CAE) 3. ______ Caseous Lymphadenitis (CL) 4. ______ Johne’s Disease (Paratuberculosis) 5. ______ Brucellosis 6. ______ Leptospirosis (broad spectrum) 7. ______ Q Fever 8. ______ Toxoplasmosis 9. ______ Neospora 10. ______ Pythiosis 11. ______ Chlamydia 12. ______ Progesterone *
· * Samples for progesterone must be collected between: 19-21 days after breeding in cows, goats, and mares. 14-16 days after breeding in sheep 16-18 days after breeding in sows