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Online - Avian Submission Form

Avian DNA Tests Submission Form

Contact Information

Owner / Breeder:
Name:

Veterinarian
Dr.

Company:

Clinic:

Address:

City:

State/Province:

ZIP/Postal Code:

ZIP/ Postal Code:

Country:

Report by:

Phone:

Fax:

E-mail:

Other:

Sample Information:

1	Bird ID:
	Species:
	Owner:
A101 A102 A104 A1064 A108 A110 A112 A114 A116 A118 D329 D409 D411 D467 D417 AHAP1 AVP2 ARP1

2	Bird ID
	Species:
	Owner
A101 A102 A104 A1064 A108 A110 A112 A114 A116 A118 D329 D409 D411 D467 D417 AHAP1 AVP2 ARP1

3	Bird ID:
	Species:
	Owner:
A101 A102 A104 A1064 A108 A110 A112 A114 A116 A118 D329 D409 D411 D467 D417 AHAP1 AVP2 ARP1

4	Bird ID:
	Species:
	Owner:
A101 A102 A104 A1064 A108 A110 A112 A114 A116 A118 D329 D409 D411 D467 D417 AHAP1 AVP2 ARP1

5	Bird ID:
	Species:
	Owner:
A101 A102 A104 A1064 A108 A110 A112 A114 A116 A118 D329 D409 D411 D467 D417 AHAP1 AVP2 ARP1

6	Bird ID:
	Species:
	Owner:
A101 A102 A104 A1064 A108 A110 A112 A114 A116 A118 D329 D409 D411 D467 D417 AHAP1 AVP2 ARP1

7	Bird ID:
	Species:
	Owner:
A101 A102 A104 A1064 A108 A110 A112 A114 A116 A118 D329 D409 D411 D467 D417 AHAP1 AVP2 ARP1

8	Bird ID:
	Species:
	Owner:
A101 A102 A104 A1064 A108 A110 A112 A114 A116 A118 D329 D409 D411 D467 D417 AHAP1 AVP2 ARP1

Information

Avian DNA Tests

Code	Test	Sample
A101	Avian DNA Sexing	Blood, Card, Feathers
A102	Avian DNA Fingerprinting	Blood, Feathers
A104	Avian Polyomavirus	Blood, Tissue, Feces
A1064	Chlamydophila psittaci	Blood, Tissue, Feces, Swab
A108	Psittacine Beak and Feather Disease (PBFD) virus	Blood, Tissue, Feces
A110	Pacheco's Disease virus	Blood, Tissue, Feces
A112	Toxoplasma gondii	Blood, Tissue, Feces
A114	Trichomonas gallinae	Feces
A116	Avian Paramyxovirus	Blood, Tissue, Feces
A118	Avian Tuberculosis	Blood, Tissue, Feathers

Code	Test	Sample
D329	Cryptospridium spp	Blood, Tissue, Feces
D409	Aspergillus spp.	Blood, Tissue
D411	West Nile Virus	Blood, Tissue, Swab
D467	Klebsiella spp.	Blood, Tissue
D417	Bordetella avium	Blood, Swab
AHAP1	Avian Health Awareness Program: Aspergillus spp., Chlamydophila psittaci, Cryptospridium spp., Avian Tuberculosis, Toxoplasma gondii, Trichomonas gallinae	Blood, Tissue, Feces
AVP2	Avian General Profile: Avian polyomavirus, Chlamydophila Psittasi, PBFD virus, Pacheco's Disease virus	Blood, Tissue, Feces
ARP1	Avian Respiratory Profile Chlamydophila psittaci, Chlamydophila pneumoniae, Pasteurella spp., Aspergillus spp, Klebsiella spp.	Blood, Tissue, Feces

Example of Completed Fields

Avian Polyomavirus