Veterinary Request Form:

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Welcome to Affordable Pet Labs - your trusted partner in providing top-tier, in-home pet diagnostic services. We're here to make your job easier and further enhance the quality of care you provide to your clients and their pets.

When you request an in-home sample collection, we take it from there. We promptly reach out to your client, schedule a collection at a time that suits them, and ensure our trained professionals collect the samples with the utmost care and professionalism. Our service doesn't end at collection; we swiftly process the samples and email the lab results directly to you, equipping you with timely, precise information to guide your clients' pet therapy.

Our unique service allows seamless integration into your practice. All correspondence and interactions are conducted under your clinic's brand, with all mention of Affordable Pet Labs removed. We redirect all follow-up questions back to your clinic, maintaining and enhancing the invaluable bond you've established with your clients.

Affordable Pet Labs is here to work hand-in-hand with you, enabling an efficient, convenient, and enhanced care pathway for pets. Let's collaborate to make a significant difference in the lives of pet parents and their furry family members.

Pet Owner Name *

Pet Owner email
*

Pet Owner Phone Number
*

Pet Owner Address
*

Pet Name, Pet Signalment (Species, Breed, Sex, Age)
*

Lab Tests Requested
*

Total Health Assessment 50 Tests (CHEM 27, CBC,T4, SDMA, HW)

Basic Health Assessment (CHEM 16, CBC, HW)

Value Vitals Blood (CHEM 27, CBC)

Desert Dog Panel (VALLEY FEVER, HW, CHEM, CBC, UA, FECAL)

Valley Fever Screen

Pre-anesthetic Plus Health Tracker (CHEM 16, CBC)

Kidney Disease Tracker (CHEM 27, CBC, SDMA)

Diabetes Tracker (FRUCTOSAMINE)

Seizure Tracker (KEPPRA, PHENOBARB, POTASSIUM BROMIDE, ZONISAMIDE)

Medication Tracker (CHEM 27, CBC)

Thyroid Disease Tracker (FREE/TOTAL T4, TOTAL 3, TSH)

Blood Allergy Test with Nexxmune

Total Fecal with Giardia

Other:

Required

Any information about the pet our team should know before our visit?
*

Do you have any additional pets to add to the request and if so can you please provvide the test you would like us to collect and process?
*

Ordering Veterinarian Name
*

Veterinary Clinic Name
*

Veterinarian Phone Number
*

Veterinary Clinic Email
*

Would you prefer to be billed or have your client order the prescribed test?
*

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