Holter Data Report Form
Have you holtered a puppy?  The Shiloh Shepherd Resource Center is compiling data for our breeders. Submitting your results here.  Help us better understand how GSD IVA is affecting the Shiloh Shepherd.
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DOG'S INFO
call name *
registered name *
date of birth *
MM
/
DD
/
YYYY
sire *
dam *
HOLTER RESULTS
complete the following to submit your holter test results
holter result i.e. (0,0,0) *
date of test *
MM
/
DD
/
YYYY
SUBMITTED BY
name
email
Submit
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