Veterinary Laboratory Toronto
Call Us! 1-877-371-1551


Request Information

Fill out the form below and one of our executives will get in touch with you.





  

Submission Form


Please print this form. When your payment is complete, bring this form to your local veterinarian and request a blood sample in a lavender (EDTA) tube.

SUBMISSION FORM
CONFIRMATION:
CLIENT INFORMATION
Name
Address 1
City
Country
State
ZIP/Postal Code
Email
CLINIC INFORMATION

Clinic:________________________________Dr.:_________________________________

Address:__________________________________________________________________

City:________________________________State:________________________________

ZIP/P Code:__________________________

Report Results By Phone:_________________________

Fax:___________________________________________

Email:_________________________________________

ANIMAL INFORMATION
Animal 1  
Owner
Animal's ID _______________________________________
Breed
Dog's Main Color _______________________________________
TEST -
Please note that this test requires a blood collection. Please print this form. When your payment is complete, bring this form to your local veterinarian and request a blood sample in a lavender (EDTA) tube.