PRLRC ALL BREED HEALTH CLINICMAY 25, 20139 a.m. – 4 p.m.North Stonington Fairgrounds, Wyassup Road, North Stonington, CT
REGISTRATION FORM AND PAYMENT MUST BE RECEIVED NO LATER THAN MAY 10, 2013
Offering cardiac clearances either by auscultation or echo by Cardiologist – Dr. Nancy Morris ACVIM
Auscultation $40.00 or Echo Doppler $190.00Scheduling and payment for Dr Morris can be done directly through their website:
CERF - Dr Alan Bachrach Jr. VMD ~ $40.00 per dog
Optigen PRA ~ $156 per dogExercise Induced Collapse ~ $65 per dogOptigen and EIC will be done by Cheek Swabs (no blood draws)Clearance forms can either be CERF or OFA, depending on owner preference.
PLEASE PRINT – Send 1 entry for each dog you would like examined
Name___________________________________________________________________
Address_________________________________________________________________
City________________________________________ State__________ Zip__________
Phone____________________________________________Email_________________________________________
Dog’s name ____________________________________________________________
Appointment preference ___ morning ___lunch ___ afternoon
Name___________________________________________________________________
Address_________________________________________________________________
City________________________________________ State__________ Zip__________
Phone____________________________________________Email_________________________________________
Dog’s name ____________________________________________________________
Appointment preference ___ morning ___lunch ___ afternoon
SUBMIT FORM AND PAYMENT TO
Chris Lapham
354 Sperry Road
Bethany, CT 06524
(203) 613-6454 or
354 Sperry Road
Bethany, CT 06524
(203) 613-6454 or
(Please make checks payable to "PRLRC")