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