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Ua_genetik_engl_ohnepreis2

Submission form
Genetics Dog/Cat
Business Hours: Mo - Fr: 8:00 - 19:00 h, Sa: 9:00 - 13:00 h _________________________________________________ I have checked the animals identity and assure that samples are taken from the animals mentioned below.
________________________________________________- _ :__________________________________________- Patient-ID:_________________________________________ Please note: Indication of breed is absolutely required!
Animal 1 (MUST BE FILLED OUT - if known, in Capital letters, please)
___________________________________________________________________ _________________________________________ ________________________________________________________________ C _________________________________________ Pedigree-No.: __________________________________________________________________ _________________________________________ Microchip-No.: ___________________________________________________________________ Animal 2 (MUST BE FILLED OUT - if known, in Capital letters, please)
___________________________________________________________________ _________________________________________ ___________________________________________________________________ _________________________________________ Pedigree-No.: ________________________________________________________________ T _________________________________________ Microchip-No.: ________________________________________________________________ S Animal 3 (MUST BE FILLED OUT - if known, in Capital letters, please)
________________________________________________________________ D _________________________________________ ________________________________________________________________ C _________________________________________ Pedigree-No.: __________________________________________________________________ _________________________________________ Microchip-No.: ________________________________________________________________ S Credit card
Total amount:________________________________________________________________ ______________________________________________ _______________________________________________________________ _ :_______________________________________________ _ :_____________________________________________________________ Cardholders signature: _________________________________________ For accepting credit card we charge EUR 2,10 plus VAT.
Please note: The genetic tests for horses can be found on lab order "Horse"
Hereditary Diseases (Sample Material: 0,5 - 1 ml EDTA-blood, Buccal Swabs) Arrhythmogenic Right Ventricular Cardiomyopathy*
Malignant Hyperthermia (MH)
(All breeds)
(ARVC)
(Boxer)
8032 MDR1 Gene Defect* (Ivermectin Sensitivity)
(American White Shepherd, Australian Shepherd, Bobtail, Border Collie, Elo, German Brachyury
Shepherd, Longhaired Whippet, Mc Nab, Rough,- Smooth Collie, Shetland Sheepdog, Silken Windhound, Waeller, Weißer Schweizer Schäferhund) 8012 Canine Leucocyte Adhesion Deficiency (CLAD)
(Irish Red and White Setter, Irish Setter) 8069 Mucopolysaccharidosis Type VII (MPS)
Collie Eye Anomaly* (CEA) OPTIGEN
(Australian Shepherd, Bearded Collie, Border Collie, Boykin Spaniel, Hokkaido,
8068 Muscular Dystrophy
Lancashire Heeler, Longhaired Whippet, Nova Scotia Duck Tolling Retriever, Rough,- (Cavalier King Charles Spaniel, Golden Retriever) 8411 Musladin-Lueke Syndrome (MLS)
Congenital Hypothyroidism with goiter (CHG)
(Spanish Waterdog)
8220 Myostation mutation("Bully-Gen")
Copper Toxicosis (CT)
Myotonia Congenita
Cystinuria
Narcolepsy
Degenerative Myelopathy (DM)
(All breeds)
8429 Necrotizing Meningoencephalitis (MNE)
Dilated Cardiomyopathy* (DCM)
(Doberman)
8457 Neonatal Cerebellar Abiotrophy (NCCD)
8406 Dry Eye Curly Coat Syndrome (CCS)
8155 Neonatal Encephalopathy (NEWS)
8407 Dry Eye Curly Coat Syndrome (CCS) +
Episodic Falling
Neuronal Ceroid Lipofuscinosis (NCL)
(American Bulldog, Australian Shepherd, Border Collie, Dachshund, English Setter, Episodic Falling (EF)
(Cavalier King Charles Spaniel)
8011 Night Blindness (CSNB)
Exercise Induced Collapse (EIC)
(Boykin Spaniel, Chesapeake Bay Retriever, Curly Coated Retriever, German
8215 Osteogenesis imperfecta
Wirehaired Pointer, Labrador Retriever, Pembroke Welsh Corgi) Factor VII Deficiency
Phosphofructokinase Deficiency (PFKD)
(Airedale Terrier, Alaskan Klee Kai, Beagle, Giant Schnauzer, Scottish Deerhound) (American Cocker Spaniel, English Springer Spaniel, Whippet, Wachtelhund) Familial Nephropathy* (FN)
Polyneuropathie (AMPN)
Familial Nephropathy (FN)
Primary Lens Luxation (PLL)
(Chinese Crested, Jack Russell Terrier, Jagd Terrier, Lancashire Heeler, Miniature Bull Terrier, Parson Russell Terrier, Patterdale Terrier, Rat Terrier, Sealyham Terrier, Tibet Fucosidosis
Terrier, Toy Fox Terrier, Volpino Italiano, Welsh Terrier) Globoid Cell Leucodystrophy / Krabbe-disease
Primary Open Angle Glaucoma (POAG)
(Cairn Terrier, West Highland White Terrier) 8156 Glycogen Storage Disease (GSDIIIa)
GM1-Gangliosidosis
Grey Collie Syndrome (Canine Cyclic Neutropenia)
Dominant Form of PRA
Hemophilia A (Factor VIII deficiency)
Generalized PRA
Hemophilia B (Factor IX deficiency)
8157 Hereditary Cataract (HSF4)
prcd-PRA
8094 performed by OPTIGEN*
Hereditary Myopathy (CNM)
performed by partnerlab*
(American Cocker Spaniel, American Eskimo Dog, Australian Cattle Dog, Australian Shepherd, Australian Stumpy Tail Cattle Dog, Chesapeake Bay Retriever, Hereditary Nasal Parakeratosis (HNPK)*
(Labrador Retriever)
Chinese Crested, Cockapoo, Dwarf Poodle, English Cocker Spaniel, Entlebucher Mountaindog, Finnish Lapphund, Golden Doodle, Golden Retriever, Kuvasz, Hereditary Necrotizing Myelopathy (HNM)*
Lapponian Herder, Labrador Retriever, Labradoodle, Markiesje, Nova Scotia Duck Norwegian Elkhound, Portuguese Waterdog, Swedish Lapphund, Toy Poodle, Spanish Hereditary Neuropathy (GHN)
Water Dog, Silky Terrier, Yorkshire Terrier) Hyperuricosuria (SLC)
rcd 1-PRA
(Irish Setter, Irish Red and White Setter) Ichthyosis
rcd 1a-PRA
Junctional Epidermolysis Bullosa (JEB)
rcd 2-PRA* OPTIGEN
Juvenile Dilatative Cardiomyopathy (JDCM)*
rcd 3-PRA
Juvenile Epilepsy*
rcd 4-PRA
(Gordon Setter, Irish Setter, Tibet Terrier) 8197 Juvenile Renale Dysplasia (JRD)*
8125 L-2-Hydroxyglutaric Aciduria (L-2-HGA)
In order to allow the breeding club discount please enclose a breeding club membership confirmation to each sample
submission. The invoice can not be altered subsequently.

Hereditary Diseases (Sample Material: 0,5 - 1 ml EDTA-blood, Buccal Swabs) 8104 Pyruvat Dehydrogenase Phosphatase 1 Deficiency
8210 von-Willebrand-Disease
Pyruvatkinase Deficiency (PK Deficiency)
(Basenji, Beagle, Labrador Retriever, Pug, Westhighland White Terrier)
8119 von-Willebrand Disease Type 1
(Bernese Mountain Dog, Coton de Tulear, Doberman, Drentsche Patrijshond, German Retinal Dysplasia* (OSD) OPTIGEN
Pinscher, Labradoodle, Manchester Terrier, Kerry Blue Terrier, Papillon, Pembroke 8191 Startle Disease
8014 von-Willebrand Disease Type 2
(German Shorthaired Pointer, German Wirehaired Pointer) 8143 Trapped Neutrophil Syndrome (TNS)
8233 von-Willebrand Disease Type 3
8456 Dwarfism (Skeletal Dysplasia 2)
8142 Dwarfism
(Czechoslovakian Wolfdog, German Shepherd, Saarloos Wolfdog) Coat Colours / Coat Length (Breeds upon request) (Sample Material: 0,5 - 1 ml EDTA-blood, Buccal Swabs) A-Locus (Agouti)
Furnishing
B-Locus (Coat Colour Brown)
Coat Length
Improper Coat
(Portuguese Waterdog)
8136 D-Locus (Dilution)
8145 K-Locus
8018 E-Locus
(Coat Colours Yellow, Lemon, Red, Cream, Apricot)
K-Lokus* (brindle)
EG-locus domino/grizzle
EM-Locus (Melanistic Mask Allele)
S-Locus*
DNA-Profile / Parentage** (Sample Material: 0,5 - 1 ml EDTA-blood) Parentage verification
Likelihood ratio calculation (incl. DNA-Profile)
(Breeds upon request)
DNA-Profile (each parent)
Breed Analysis (DNA-Profile + assignment)
For parentage evaluation DNA profiles of each parent is needed.
If only sample material from one parent is available we would like you to contact us prior to submitting the samples.

In order to allow the breeding club discount please enclose a breeding club membership confirmation to each
sample submission. The invoice can not be altered subsequently.

Hereditary Diseases (Sample Material: 0,5 - 1 ml EDTA-blood, Buccal Swabs) Gangliosidosis (GM 1/GM 2)
Hypokalemia*
Gangliosidosis (GM2)
Polycystic Kidney Disease (PKD)
Glycogen Storage Disease (GSD) Type IV
Progressive Retinal Atrophy (rdAc-PRA)
(Abyssinian, American Curl/Wirehair, Balinese, Bengal, Colorpoint Shorthair, Cornish Rex, Javanese, Munchkin, Oriental Shorthair, Singapura, Siamese, Somali, Tonkinese) Head Defect*
(Burmese)
Hypertrophic Cardiomyopathy (HCM)
Pyruvatkinase Deficiency (PK)
Mutation 1 Meurs (G --> C)(Maine Coon) (Abyssinian, Bengal, Domestic Shorthair and Longhair, Egyptian Mau, La Perm, Occicat, Maine Coon, Norwegian Forest, Savannah, Siberian, Singapura, Somali) Hypertrophic Cardiomyopathy (HCM)
(Ragdoll)
8123 Feline Spinal Muscular Atrophy (SMA)
Coat Colours / Coat Length (Sample Material: 0,5 - 1 ml EDTA-blood, Buccal Swabs) Coat Colour Variant Agouti
Coat Colour Amber
Coat Colour Variant Burmese
Coat Colour Chocolate
Coat Colour Variant Siamese (Point)
Coat Colour Cinnamon
Coat Colour Variant Dilution
Coat Length
Genetical Blood Group Testing
Serological Blood Group Testing
(All breeds except Turkish Angora, Ragdoll, Sibirian, Neva Masquerade, European (only EDTA Blood)
Serological evaluation of the blood group is needed to differentiate between groups A, B and AB. Prior to any blood transfusion both
donor and recipient should be tested to avoid incompatibilities. SAMPLE MATERIAL: EDTA BLOOD

Additional genetic testing of the blood group is helpful prior to selection of mating partners especially in case of the queen being group
A or AB due to the fact that group A animals can carry and pass on the recessive b gene for group B.
SAMPLE MATERIAL: EDTA BLOOD OR SWAB

DNA-Profile / Parentage** (Sample Material: 0,5 - 1 ml EDTA-blood) Parentage verification
DNA-Profile (each parent)
8211 Breed Analysis (DNA-Profile + assignment)
For parentage evaluation DNA profiles of each parent is needed.
If only sample material from one parent is available we would like you to contact us prior to submitting the samples.

* Partnerlab
**Additional Information DNA-Profile:
Please send in samples from both parents even if only the parentage of the Father has to be verified.
All animals with possible parenthood should be tested.
Sampling should be performed by an officially appointed person if the result is going to be part of a legal issue.

1) The identity of the animal needs to be confirmed by a veterinarian (specified by Microchip-No, Tattoo-No.) 2) Certificates are not issued for partner laboratory services and genetic blood group testing of cats 3) Certificates are included in the services of DNA-profile and parentage testing In order to allow the breeding club discount please enclose a breeding club member confirmation to each sample
submission. The invoice will not be altered subsequently.

Supply order:
D000000000003D Business Conditions:
All statements according to our conditions see (www.laboklin.com) / All terms and prices are subject to changes.
* = partnerlab 015.005 12/11

Source: http://vetfonds.lv/upload/PDF/Veidlapas/Laboklin_GENETIKA_anamnezes_lapa.pdf

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