Sample submission Step 1 of 4 25% Submitting Veterinary Practice*Your Email address Fill this out to receive a copy of the form which you can print.Submitting Veterinary Surgeon:Submission Date Owner/Trainer First Last Name of animal Racing Haem Diff TP Fib Alb AAT CPK Geriatric/Investigative Haem Diff TP Fib Alb AAT CPK AP IAP GLDH GGT Urea Creatinine Total Bilirubin SAA Infection Haem Diff TP Fib Alb Parasitism Haem Diff TP Fib Alb AP IAP Renal Haem Diff TP Fib Alb Urea Creatine Liver Haem Diff TP Fib Alb GLDH GGT Total Bilirubin Bile Acids Haematology only TP (R) Alb (R) AAT (G/R) Haem and Diff AP (R) GGT (G) CPK (G/R) PCV only (P) IAP (R) Urea (R) Bile Acids (R) Electrolytes (G) GLDH (G) Creatine (R) LDH (R) SAA (R) Fib (R,G) Total Bilirubin (R) Trigs (R) InfoPlease submit an EDTA (PURPLE), plain (RED) and lithium heparin (GREEN) tube for all blood samples. OTHER LABORATORY SAMPLESPlease tick the correct box for the type of sample, and if necessary write any additional instructions (extra tests required, urgency, specific sensitivities, etc) Other Laboratory Samples Tracheal Wash Urine Sample (dipstick & specific gravity Worm Egg Count Skin Scrape (microscopic exam & culture) CEM Swab Stallion Swabs Cervical Swab Culture & Sensitivity (please state site) Joint Fluid (cell count & total protein) Peritoneal tap (cell count & total protein) IgG (please submit in green tube) Strangle culture Faceal culture (inc. Salmonella) Foal tracheal wash (inc. Rhodococcus equi Other Laboratory Samples additional instructions HISTORY/ADDITIONAL COMMENTS: Captcha