Lab use only
RUMINANT SUBMISSION FORM
Important. Please read. Contact Information must be supplied with all samples submitted for testing to the Animal Health Lab (“AHL”). Agricultural animal testing carried out through AHL is
subsidized by the Government of Ontario. By submitting samples for testing to AHL, the submitter acknowledges that s/he is the owner or is a duly authorized agent of the owner. The submitter
acknowledges and agrees that AHL may share test results and contact information as it deems necessary for the purposes of relevant legislation regarding reportable or notifiable diseases and
for the purpose of surveillance of animal or public health in Ontario.
Owner unique ID (max. 40 characters)
Address
Premises ID Farm postal code
Phone Email
Farm Fax
Barn/pen/floor/batch ID
History (treatments, vaccinations, management, including all current drug therapy)
Other testing requests and/or special instructions
STAT (Additional charges apply)
Species ______________
Breed ________________
Age _____ d w m y
Sex F M
Case type:
Diagnostic
Research
Monitoring
Other
*DEMOGRAPHIC INFORMATION IMPORTANT***
Herd size _____________
No. at risk _____________
No. sick _______________
No. dead______________
Weight________ kg
Duration of problem
_____ days _____ weeks
_____ months _____ years
# SPECIMENS
Sent Received
Whole blood
Serum
EDTA
Urine
Feces
Fresh tissue
Fixed tissue
Fluid
Scrapings
Slide
Swab
Other
List:
________________
Rabies suspect?
Insurance claim?
Possible litigation?
Resubmission?
Previous case #
CLINICAL PATHOLOGY
Biochemistry
Bovine profile bprf
Bovine metabolic profile bmprf
(minimum 5 specimens)
Caprine profile gprf
Ovine profile oprf
Beta-hydroxybutyrate bhba
Haptoglobin hp
Non-esterified fatty acids nefa
Hematology
CBC (incl. Diff & TS) cbcf
CBC, no differential ndcbc
CBC, with machine differential adcbc
Iron + TIBC fetib
Urinalysis
Routine urinalysis urin
Coagulation
Fibrinogen fib
Coagulation profile 3 coag3
(PT, PTT,coag3)
VIROLOGY
Anaplasma Ab - ELISA anape
BTV - ELISA btveli
BTV/EHDV - PCR btvehdv
Bovine adenovirus 3 - VN bav3
Bovine coronavirus - VN bcv
Bovine leukemia virus - ELISA blvb
Bovine abortion panel - PCR boabopc
(BoHV-1/IBR, Leptospira, Neospora caninum)
Bovine neonatal enteric panel bentpnl
(BCoV-PCR,Rota/Corona - PCR,
sucrose wet mount, bacterial culture)
Bovine PI3 virus - VN pi3
Bov. respiratory panel - PCR brvp3
(BoHV-1/IBR, BPIV-3, BRSV)
Bov. respiratory panel, serology respb
(bav3 bcv brs bvdn bvd2 ibr pi3)
Bov.respiratory syncytial virus - VN brs
Rotavirus/coronavirus PCR rocopcr
Salmonella Dublin ELISA salmdel
BVDV (type 1a Singer ) - VN bvds
BVDV (type 1a NADL) - VN bvdn
BVDV (type 2, NVSL 125) - VN bvd2
BVDV - PCR bvdrt
CAEV - antibody ELISA caeve
IBRV - VN ibr
IBRV/BoHV -1 - Ab ELISA ibre
IBR/BoHV-1 rt RT - PCR ibrrt
Maedi-visna virus - Ab ELISA Hyphen mvveh
ORF-BPSV PCR orfbps
Scrapie - ELISA scrpe
Scrapie - genotyping prp
MYCOPLASMOLOGY
Haemoplasma - PCR hapcr2
Mycoplasma culture mculf
Mycoplasma bovis - PCR mbpcr
BACTERIOLOGY
Site:_____________________________
Culture and susceptibility cultf
Anaerobic culture ancuf
Aerobic & anaerobic culture ancultf
Abortion culture bcabo
Abortion culture
with Campylobacter culture bcabc
C. difficile - culture cdiff
C. perfringens - typing - PCR cperf
Clostridia - FA faclf
C. difficile toxins - ELISA clodf
Coxiella burnetii (Q fever) - ELISA) qfeia
E. coli ETEC ecolf
(enterotoxigenic) - PCR
E. coli VTEC vtecf
(verotoxigenic) - PCR
Leptospirosis profile - MAT leptmatf
Leptospira spp - PCR leptpcr
Listeria enrichment lmin
M. paratuberculosis - ELISA john
(bovine/ovine)
M. paratuberculosis - ELISA xjohe
(goat)
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AHL-Ruminant (2019-02-07)
SAMPLES TAKEN Date: _________/_____/_____/(yyyy/mm/dd) Time of day _____:_____ Date sent________/____/____/ (yyyy/mm/dd)
SUBMITTED BY Veterinarian Owner Other BILL Veterinarian Other
Commodity (check).
Meat Dairy Other
Clinic No.
Clinic
Address Postal code
City Phone
Veterinarian Fax
Email
Animal ID
____________________
____________________
_____________________
For additional animals
please use back page or
send Excel spreadsheet
to: specroom@uoguelph.ca
Any Questions? Please contact the lab.
Email: ahlinfo@uoguelph.ca
Website: http://ahl.uoguelph.ca
AHL GUELPH: 519-824-4120 ext: 54530, Fax: 519-827-0961
AHL KEMPTVILLE: 613-258-8320, Fax: 613-258-8324
AHL - Guelph Courier Address
UoG Animal Health Lab-PAHL
419 Gordon Street-Bldg 89
Guelph, ON N1G 2W1
Attn: Specimen Reception
Animal Health Laboratory
Laboratory Services Division
79 Shearer Street
Kemptville, Ontario K0G 1J0
RECEIVED BY: Initial ________
Courier Mail
Drop-off Other
M.paratuberculosis jpcr
- PCR
Mycology myc
- fungal culture
PARASITOLOGY
Fecal flotation fflot
Fecal egg count fecrm
McMaster
Neospora caninum neo
ELISA
Sucrose wet sucwt
mount (Crypto.)
TOXICOLOGY
Mineral panel, hmsc
heavy metals
(Sb As Be B Cd Co Cr Cu Fe
Pb Hg Mg Mn Mo Ni Se Sn TI Zn)
Mineral panel,
trace element icpse
(Co Cu Fe Mo Mn Se Zn)
Selenium, serum tsems
Vitamin E, serum vite
HISTOPATHOLOGY
Histopathology hist
ANIMAL HEALTH LABORATORY
ADDITIONAL ID WORKSHEET
Comments/History (Continued)
ID# Identification ID # Identification
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AHL-Ruminant (2019-02-07)
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