Species:

Owner Name:

Breed:

Animal ID:

Age:

Patient Ref No.:

noitcelloc fo emiTetaDemaN tnirPerutangiS

:xeS

E G P L FO Sbl U Sm Fl Tfo Tfr Swab F tiC Other

Previous Lab No:

VETERINARIAN / CLINICDETAILS

CLINICAL HISTORY: (including description of any gross skin or mass lesions and any recent therapy):

OTHERS: (PLEASE SPECIFY)

Property ID (if applicable)

2714

3 A

SA

P 2

017

SA

Sm

all A

nim

al F

orm

SN

AP

® N

o P

O B

ox

Office Use ONLY:

ASAP LaboratoryPHONE: 1300 VET LAB (1300 838 522) FAX 9562 0055.EMAIL: admin@asaplab.com.au

www.asaplab.com.auSASMALL ANIMAL

Do not run Regionally. Send directly to ASAP

BARCODE No:(Office Use)

RECOMMENDED PROFILES

HAEMATOLOGY / COAGULATION

101 FBE 614 CBC Uninterpreted107 PT+APTT 106 APTT 105 PT noitalugaoC lluF 316

URINALYSIS

Method of collection;____________________301 Urinalysis 303 Urinalysis + C+S305 Urine C+S ONLY307 Comprehensive urinalysis308 Urine Protein: Creatinine Ratio

MICROBIOLOGY

351 MC & S

Tick to pool samplesNumber of sites .........

359 Fungal wet mount and culture375 Fungal and Bacterial culture

BIOCHEMISTRY201 Full Screen 202 Liver 203 Renal207 Paired Bile acids / 208 Single 211 Fructosamine205 1-5 Biochemistries (list required tests)

CYTOLOGY

401 Routine cytology 352 Add M+C

407 CSF 404 BAL/TTW405 Bone marrow (incl. FBE)403 Body Fluid Analysis

402 Additional Site

FAECAL EXAMINATION

901 Comprehensive 902 Basic903 Faecal float 904 Occult blood

ENDOCRINOLOGY / THERAPEUTIC

701 Total T4 705 cTSH

216 Phenobarbitone217 Potassium Bromide

712 Progesterone708 ACTH stimulation test709 LDDST

732 AMH

SEROLOGY AND MOLECULAR801 FIV/FeLV (ELISA)803 Cryptococcus (LCAT)805 Heartworm antigen808 Toxoplasma IgG +IgM809 Neospora serology

Neurological PCR

HISTOPATHOLOGY

502 Histopathology 2-3 tissues503 Histopathology 4-6 tissues504 Histopathology 7-10 tissuesMargin check required?

Respiratory PCR

Full Body Function Body Function + UrinalysisBody Function + T4Body Function +T4 + Urinalysis + MCSSick Dog / Cat ProfileBasic HealthBasic Health + UrinalysisBasic Health + SNAP® cPL™/fPL™

Wellness Profile (Basic Health + T4)Wellness Profile + UrinalysisWellness Profile + Urinalysis + MCSWellness Profile + SNAP® cPL™/fPL™

1054 Respiratory Mycoplasma PCR1055 Haemotropic Mycoplasma PCR

501 Histopathology 1 tissue

SAMPLES

BLOOD EDTA CitratePlain FI OxLith Hep Gel

SMEARS Blood OtherURINE Sterile Method Container ___________FLUID EDTA PlainSWAB Gel DryTISSUE In Formalin Fresh

FAECES ___________ __________

OTHER ___________ __________

Add OnsTT4 FIV/FeLV Urine C+S ONLY

Faecal Multiplex PCR