orange empire dog club, inc. semi-annual health clinic ... · 20.05.2013 · semi-annual health...
TRANSCRIPT
OEDC Clubhouse 18225 Santa Ana Ave.
Bloomington, CA 92316
**PLEASE COMPLETE A SEPERATE FORM FOR EACH DOG YOU ARE BRINGING** *Forms will be pre-filled making your experience more enjoyable. Please include copy of AKC Papers for CERF & Cardiac*
**We now offer appointments for CERF & Cardiac Exams. Please be sure to include your e-mail address to set an appointment**
CERF & Cardiac Exams require your dogs AKC Information!!
For Appointments, please include a copy of your dogs AKC papers and indicate microchip number!!
(Detatch Here)
Dr. Michael Butchko: 6:00 p.m. - 8:00 p.m.
Dr. Michael Chang: 4:00 p.m. - 8:00 p.m.
EYE EXAMS
# of Tests Totals
(T3, T4, Free T4, Free T3, T4AA, T3AA)
(Com Plus Heartworm)
Owners Name:
Address:
Phone: Breed:
Thank You for Your Support! We Look Forward to Seeing You There!
Rabies: $8.00 x
Combination Shot: $8.00 x
Bordetella: $8.00 x
von Willebrand: $80.00 x
Heartworm: $16.00 x
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Thyroid (Complete Panel) $85.00 x =
Full Body Chemistry: $75.00 x =
Microchip: $25.00 x =
# of Tests Totals
=CERF or OFA $30.00 x
Prepaid AKC DNA Tests: $40.00 x =
E-mail:
Preferred Time:
Sex: Color / Markings:
Age: Weight:
To Register Please Send Completed Form With Check Made Payable to OEDC to: OEDC Health Clinic, c/o Karen Means, 3162 Sacramento Rd., Phelan, CA 92371
If you have any questions please email [email protected] or call Karen at (760) 868-4598
OEDC Services:
Dinner: $10.00 x =
Totals# of Meals
Mexican Dinner (Tacos, Chips, Rice & Beans, Drink & Dessert)
OFA Cardiac Auscultation $40.00 x
Dr. Sharon Huston: 5:00 p.m. - 8:00 p.m.
# of Tests Totals
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OFA Echocardiogram $210.00 x =
Dogs Name:
(Includes Auscultation)
(Including lifetime registration)
Directions: From I-10, to Cedar Ave; South on Cedar to Santa Ana; Right on Santa Ana about 3/4 mile on the left From I-60, to Rubidoux Ave (will become Cedar); North to Santa Ana; Left on Santa Ana about 3/4 mile on the left
Exact directions from your location can be found at www.orangeempire.org/directions.htm
No parking on street, please park in lot!
Orange Empire Dog Club, Inc. Semi-Annual Health Clinic - May 20, 2013
VetGen: **Other Tests Available Upon Request**
von Willebrands Disease: $80.00 x =
Totals# of Tests
=Factor VII: $55.00 x
=MLS (Beagles Only): $55.00 x
Add $7.50 to test price for immediate submission to OFA
Thyroid (T4 Only) $48.00 x =