2019 EDCC Case Report Form
Please include as much information as possible. All information provided is collected and maintained in the EDCC Database and used for research purposes. Information is not provided to the public except in the form of statistical reports.
Source (State Department of Agriculture, USDA, State Veterinarian's Office, etc)
Name of Submitter
Is the Submitter a DVM?
Phone Number (for EDCC follow-up use only)
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