Labrador Retriever Club of the Potomac, Inc. HEALTH CLINIC Thursday, April 15, 2010 9:00 AM to 4:00 PM Pre-registration will be available beginning April 1, 2010 LOCATION: MICROCHIPS: HEART EXAMS: OPTIGEN TESTS: Special 20/20 Clinic Fee 20%-25% off price using Code LRCP10415 Holiday Inn Frederick - 5400 Holiday Drive, Frederick, MD 21703 301-694-7500 In the Club Hospitality Room # 105 Home Again Microchip or AVID Microchip Provides permanent identification. AKC CAR & Home Again registration forms provided. Cardiologist Dr. Luis Braz-Ruivo. DVM, DVSc DACVIM. ECHOCARDIOGRAM. Eligible for OFA certification, if over 1 year of age. Bring AKC Reg. & Permanent ID Info. Complete, print and bring OFA FORM, if desired http://www.offa.org/cardappbw.pdf Tests Offered for LABRADORS – Optigen Website – ONE SAMPLE CAN BE TESTED FOR ANY OR ALL: prcd-PRA $195 ($156 combo) - Progressive Rod Cone Degeneration form of Progressive Retinal Atrophy RD/OSD $160 ($120 combo) - Inherited Retinal Dysplasia with OculoSkeletal Dysplasia (dwarfism). NARC $130 ($104 combo) - Narcolepsy Combination Test Fees apply to multiple tests per same dog Special Clinic Fee – 20% off regular fee. To get an additional 5% discount = 25%, Test Forms MUST be completed online at the Optigen Website using code LRCP10415. Bring completed Optigen Form with payment made payable directly to “Optigen”. Also select OPTIGEN on Form below. Univ of Minn VDL Test for EIC $65 fee. See VDL Website. Results ARE ELIGIBLE FOR OFA. Complete, print and bring OFA FORM, if desired: http://www.offa.org/dnaappbw.pdf EIC TEST: EIC Test Request Forms should be completed ONLINE at VDL and printed. Bring completed ADL Form with Exercise Induced payment made payable directly to “U of M VDL”. Also select EIC on form below. Collapse ------------------------------------------------------------------------------------------------------------------------------------(Your choice of VDC Test for EIC. See Veterinary Diagnostics Center Website Results NOT ELIGIBLE for OFA. 2 laboratories) $45 Special Clinic Fee – 22% discount off regular $58 price. Registration and payment made payable directly to Veterinary Diagnostics Center. Also select EIC on form below. From April 1 to April 15. Mail completed forms, samples and fees to address below or bring to clinic. PRE-REGISTER: Vicky Creamer: 301-831-7507 belquest1@aol.com Laura Dedering: 610-599-7767 folklaur@epix.net FOR MORE INFO: Phyllis Giroux DVM: 540-752-4888 deeprunret@aol.com Sheree Paskert: 813-645-2177 tomanylabs@aol.com All DNA testing will be done by cheek swabs only. Fast and painless. Results in about 2 weeks or less. Bring Dog’s AKC and Microchip / Tattoo numbers. TEST RESULTS ARE STRICTLY CONFIDENTIAL AND WILL BE SENT DIRECTLY TO THE OWNER. All testing fees are to be made payable directly to the testing organization. SAMPLES MUST BE MAILED TOGETHER FROM THE CLINIC TO GET THE DISCOUNTED PRICES. To try and avoid mistakes, missing information and confusion, please plan to complete your forms online at home, so you can print and bring them to the clinic. Additional Forms will be available at the club table. PLEASE complete them in advance of Thursday’s clinic. A collection and shipping fee of $5 will be charged per sample in cash or a check made payable to LRCP. -----------------------------------------------------------------------------------------Bring completed forms/samples/fees to clinic or MAIL IN ADVANCE to Vicky Creamer 18745 Penn Shop Rd. Mt. Airy, MD 21771 Print Your Name: ________________________________ Phone: ___________________ Cell:______________________ Address: ______________________ City: ________________ State: ______ Zip: _________ email: _________________ TIME SLOT PREFERRED, PLEASE NUMBER 1 to 3 IN ORDER OF PREFERENCE: ___9:00-10:00___10:00-11:00____11:00-Noon ____Noon-1:00___1:00-2:00___2:00-3:00___3:00-4:00 Services – Put an “X” in each box under each name Call Name Call Name Call Name Call Name Unit Cost = Ext. Amt. Enter Each Dog’s Call Name > MICROCHIP ECHOCARDIOGRAM limited must be prepaid OPTIGEN collection and shipping fee EIC collection and shipping fee __X $25 __X $200 __x$5 __x$5 TOTAL I HEREBY RELEASE PARTICIPATING VETERINARIANS, LRCP, INC., ITS MEMBERS AND AGENTS FROM ANY AND ALL INJURIES OR LOSSES SUSTAINED BY MYSELF OR MY DOG(S) WHILE AT THIS HEALTH EVENT. Please sign: Date: