Online Submission Form | Cerberus Sciences

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Fields marked with a (*) are required.

Submitter

Contact name (*)

Email (*)

Organization (*)

Facility ID

Street address (*)

City / Suburb (*)

State / Territory (*)

Postcode (*)

Country (*)

Telephone (*)

Bill to (e-mail address)

Submission

Your reference (*)

Purchase Order No.

Receiving laboratory (*)

Dispatch date (*)

Arrival date

Courier

Submission details

Technology

Serology

Pathology

Molecular testing

Parasitology

Bacteriology

Histopathology

Category

Laboratory Animal Health Monitoring
Laboratory Animal Disease Investigation (**)
Pocket Pet and Exotic Animal Services (**)

#	Sample reference (*)	Strain	Location	No. of samples (*)	Sample type (*)	Species (*)	Panel(s) required	Test(s) required	Confirm strain by genotyping?	Sex	Age/DOB	De-sexed	Coat colour	Origin of animal	Time spent in facility
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(**) For Laboratory Animal Disease Investigation and Pocket Pet submission further details can be provided below

Please indicate if any live animals submitted are immunocompromised

Additional notes, Additional message, History, PM Finding, etc.

Laboratory Animal Health Monitoring

(**) Please provide as much detail as possible in this section (optional):

Husbandry (please provide details of caging, feed, water reproductive usage, etc.)

Method of euthanasia (if applicable)

If animal was discovered deceased – provide details on length of time deceased, storage of body, etc.

Clinical history

Details of POSITIVE health reports, previous ADVERSE incidents

Estimation/Actual number of animals showing clinical signs

Estimation/Actual number of animals which have died as a result of this ‘disease’

Recent changes in handling, research techniques, food, water, housing, companionship

Duration of syndrome

Clinical signs

Diagnostic procedures completed in house/at other laboratories, list with results

Differential diagnoses and DISEASES/DISORDERS you want us to investigate

Central Nervous System, do you want the brain and spinal cord examined histologically?

Budget limitations ($) and test priorities

We want to make sure that a real person is creating this submission.

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