the tests - ZNLabs · the green tests THE PATHOLOGY STUFF 1.888.965.9652 | POWERED BY ARP LOGISTICS CHARGE $7 PER PACKAGE No matter how many samples are in the package or one courier

MARCH 2019 toll-free: 1.888.965.9652 | www.znlabs.com

CHEMISTRY O ZNChem 25 ....................................( 1mL serum SST or RTT ) ●●

Everything you need, nothing you don’t! HEMATOLOGY

O ZBC......................................................................( 2mL LTT ) ●● CBC w/ Manual Diff Review, Path Review and Retic Count if needed!

FECAL O O&P ..................................................................( 3g fresh F ) ● ● O Giardia ELISA ..................................................( 3g fresh F ) ● ●

URINALYSIS O Urinalysis ..........................( At least 1mL U in sterile container ) ● ●

Complete urinalysis including microscopic sediment review O Urine Growth / No Growth Culture ........................

......................................( At least 1mL U in sterile container ) ● ● Quick & simple growth/no growth bacterial culture. If growth is seen, ID & sensitivity can be added for an additional fee. If no growth is seen, there is no added fee and you are good to go!

O Urine Protein:Creatinine Ratio ................................ ......................................( At least 1mL U in sterile container ) ● ●

COAGULATION O PT ........................................................................( Full BTT ) ●● O PTT ....................................................................( Full BTT ) ●●

ENDOCRINOLOGY O T4 ......................................................( 1mL serum SST or RTT ) ●● O Free T4 ............................................( 1mL serum SST or RTT ) ●● O TSH ..................................................( 1mL serum SST or RTT ) ●● O Cortisol ............................................( 1mL serum SST or RTT ) ●● O Fructosamine..................................( 1mL serum SST or RTT ) ●● O Progesterone ..........................................( 1mL serum RTT ) ●

SEROLOGY/INFECTIOUS DISEASE O Heartworm Antigen (for Feline HW Antibody see Green Tests)

......................( 1mL of anticoagulated whole blood, serum or plasma ) ●●●

O Ehrlichia......( 1mL of anticoagulated whole blood, serum or plasma ) ●●●

O Lyme............( 1mL of anticoagulated whole blood, serum or plasma ) ●●●

O Anaplasma ( 1mL of anticoagulated whole blood, serum or plasma ) ●●●

O FeLV ............( 1mL of anticoagulated whole blood, serum or plasma ) ●●●

O FIV ..............( 1mL of anticoagulated whole blood, serum or plasma ) ●●●

INDIVIDUAL TESTS O Pancreatitis Assay (DGGR Lipase) ......( 1mL serum SST or RTT ) ●●

NOTE: For detailed information about each test (e.g., methodology, etc.) visit our website: www.znlabs.com to see the full Directory of Services.

MAKE YOUR OWN CUSTOM PANELS JUST DEFINE WHAT YOU USE THE MOST

EXAMPLE CUSTOM PANELS O PANEL 1: ABC Vet Clinic General Panel__ COMPONENTS: CBC, CHEM, U/A O PANEL 2: ABC Vet Clinic Senior Panel___ COMPONENTS: CBC, CHEM, U/A, T4, Free T4 O PANEL 1:______________________________________________________________________________ COMPONENTS: ____________________________________________________________________________________________________________________________________________________________ O PANEL 2:______________________________________________________________________________ COMPONENTS: ____________________________________________________________________________________________________________________________________________________________ O PANEL 3:______________________________________________________________________________ COMPONENTS: ____________________________________________________________________________________________________________________________________________________________

NOTES

NOTES / SPECIAL REQUESTS / HELPFUL INFORMATION FOR THE LABORATORY STAFF / ETC.:

LOGISTICS CHARGE

$7 PER PACKAGE No matter how many samples are in the package or one courier pick-up, how many tests are run per sample or which tests (Green, Blue, Orange or Brown) are run.

A package or one courier pick-up with 1 sample has a $7 logistics charge. A package or one courier pick-up with 15 samples has a $7 logistics charge.

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ZNLABS ACCT. #: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _________________ HOSPITAL/CLINIC: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______________________________________________________________________________________ VETERINARIAN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

OWNER LAST NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ANIMAL NAME: ________________________________________________________________________________ COLLECTION DATE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

SPECIES: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ BREED: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ AGE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ GENDER: ~M ~M(N) ~F ~F(S) PATIENT ID/MRN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

STAFF PET: ~ PLEASE CHECK IF THIS IS FOR AN EMPLOYEE’S PERSONAL PET :)

the blue tests THE REALLY COMMON STUFF

1.888.965.9652 | www.znlabs.com

PARTNERED WITH

ARPKEY: SST ● : SERUM LTT ● : WHOLE BLOOD RTT ● : SERUM F ● : FECES U ● : URINE BTT ● : CITRATED BLOOD GTT ● : HEPARINIZED BLOOD


LOGISTICS CHARGE $7 PER PACKAGE

No matter how many samples are in the package or one courier pick-up, how many tests are run per sample or which tests (Green, Blue, Orange or Brown) are run. A package or one courier pick-up with 1 sample has a $7 logistics charge. A package or one courier pick-up with 15 samples has a $7 logistics charge.

MICROBIOLOGY Source REQUIRED (e.g., wound, ear, ocular fluid, skin etc.): ___________________ O Aerobic C&S ........( Tissue, fluid, or swab in a sterile container ) O Aerobic C&S & Anaerobic ID ................................

........................( Tissue, fluid, or swab in a sterile container )

O Urine C&S..................................( 1mL U in sterile container ) ●● O Fungal Culture ..................( Tissue, fluid, swab, hair, crust, or

....................................scraping material in sterile container )

O Fecal Culture ..............................................( 3g fresh F ) ●● O Dermatophyte Culture ..........................................

........................( Hair, crust, or scraping material in sterile container )

ENDOCRINOLOGY O ACTH Stim ......( 1mL serum SST or RTT per specimen. 2 specimens

..required for testing; please include collection time on each tube ) ●●

O 1 pre to 1-1hr post ............................................ Additional post samples can be submitted if desired.

O Dex Suppression ........( 1mL serum SST or RTT per specimen. ............2 specimens required; include collection time on each tube ) ●●

O 1 pre & 1 post ...................................................... Additional post samples can be submitted if desired.

SEROLOGY/INFECTIOUS DISEASE O Fungal Titers .......... ( 0.5mL serum SST or RTT, or 0.25mL CSF ) ●●

(Coccidioides, Blastomyces, Histoplasma)

O Tick Titers ................ ( 0.5mL serum SST or RTT, or 0.25mL CSF ) ●● (E. canis, R. rickettsia, Anaplasma spp., B. burgdorferi)

O Toxoplasma Titers ......( 0.5mL serum SST or RTT, or 0.25mL CSF ) ●●

O K9 Core Vaccine Titer................( 1mL serum SST or RTT ) ●● (Distemper, Parvo, Adenovirus)

O Feline Core Vaccine Titer..........( 1mL serum SST or RTT ) ●● (Herpesvirus, Calicivirus, Parvovirus [Panleukopenia])

O Feline Heartworm Antibody .................................. ........................................ ( 150uL serum SST or RTT or LTT ) ●●●

O Rabies Titer (not for export)............( 1mL serum SST or RTT ) ●●

O K9 Core Vaccine & Rabies Titers (not for export) ........ ..................................................( 2mL serum SST or RTT ) ●●

O Leptospira 7 Serovar Titer ......( 2-3mL serum SST or RTT ) ●● O Leptospira 7 Serovar Titer & PCR ........................

..........................................................( Titer: 2-3mL serum SST or RTT.PCR: 2-3mL LTT; PCR can also be performed on U & tissue samples; ●●●●................U: 2-10mL . Tissue: 1g tissue [kidney, liver, aborted fetus] )

O Lepto Rapid Assay ..........................................................( 1mL serum SST or RTT; 1mL lithium/sodium GTT; 1mL BTT ) ●●●●

GI/PANCREATIC TESTING O Bile Acid Pre/Resting ( 1mL serum SST or RTT per specimen ) ●●

O Bile Acid Post ............................( 1mL serum SST or RTT ) ●●

O K9 Pancreatic Lipase (PLI) ........................................ ( 0.5mL serum SST or RTT; patient fasts 12-18 hrs prior to collection ) ●●

O Feline Pancreatic Lipase (PLI) .................................. ( 0.5mL serum SST or RTT; patient fasts 12-18 hrs prior to collection ) ●●

O TLI - K9 ........................................................................ ( 1mL serum SST or RTT; patient fasts 12-18 hrs prior to collection ) ●●

O TLI - Feline .................................................................. ( 0.5mL serum SST or RTT; patient fasts 12-18 hrs prior to collection ) ●●

O K9 or Feline Cobalamin, Folate ............................ ..............................................( 1mL serum SST or RTT ) ●●

O K9 or Feline TLI, Cobalamin, Folate .................... ..............................................( 1mL serum SST or RTT ) ●●

O K9 or Feline PLI, TLI, Cobalamin, Folate ............ ..............................................( 1mL serum SST or RTT ) ●●

THERAPEUTIC DRUG MONITORING/PHARMACOLOGY

O Bromide ......................................( 1mL serum SST or RTT ) ●● O Phenobarbital ......................................( 1mL serum RTT ) ●

PCR TESTING O K9 or Feline GI/Diarrhea Panel ..............................

........................................( 5g fresh F, or gastrointestinal biopsy tissue ) ●●

O K9 or Feline Respiratory Panel ......( Deep pharyngeal or ....................conjunctival swab, submit dry, keep refrigerated )

O K9 or Feline Anemia Panel ..........................( 2mL LTT ) ●● O K9 or Feline Fever of unknown origin Panel ........

.......................................................................... ( 2mL LTT ) ●●O Feline Hemotropic Mycoplasma ............( 0.2mL LTT ) ●●

(Hemobartonella) by PCR O K9 Parvovirus by PCR .............................................. ●● O Feline Parvovirus (Panleukopenia) by PCR ................ ●●

INDIVIDUAL TESTS O Stone Analysis ............................................( Dry Stone )

O Urine Cortisol:Creatinine Ratio ..................( 1mL U ) ● O iCa++ (ionized calcium) ......................................................

................................( 0.5mL serum SST or RTT preferred; 0.5mL GTT ) ●●●

O SDMA ............( 1mL serum SST or RTT, store & ship refrigerated ) ●●

NOTE: For detailed information about each test (e.g., methodology, etc.) visit our website: www.znlabs.com to see the full Directory of Services.sim

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ZNLABS ACCT. #: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _________________ HOSPITAL/CLINIC: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______________________________________________________________________________________ VETERINARIAN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

OWNER LAST NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ANIMAL NAME: ________________________________________________________________________________ COLLECTION DATE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

SPECIES: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ BREED: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ AGE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ GENDER: ~M ~M(N) ~F ~F(S) PATIENT ID/MRN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


the green tests THE SOMEWHAT COMMON STUFF

1.888.965.9652 | www.znlabs.com

PARTNERED WITH

ARPKEY: SST ● : SERUM

LTT ● : WHOLE BLOOD RTT ● : SERUM

F ● : FECES U ● : URINE

BTT ● : CITRATED BLOOD GTT ● : HEPARINIZED BLOOD

the green tests THE PATHOLOGY STUFF

1.888.965.9652 | www.znlabs.com

POWERED BY

ARP




HISTOPATHOLOGY O Simple: Single lump, bump, tissue or non-complex lesion ..............................

....................................................( Formalin-fixed tissue; 1-3 day turnaround ) O Complex: Everything else ................( Formalin-fixed tissue; 1-4 day turnaround )

(Anything containing bone, more than one lump or bump, a huge lump or bump, a whole liver lobe, a whole spleen, an amputated digit or leg, a mandibulectomy, a whole eye, and dermatohistopathology cases.)

O Dermatohistopathology w/ Dermatology Consult .......................... ..........................................( Formalin-fixed tissue & digital images of the clinical disease. ....Send digital images of clinical disease to [email protected]. ............................................................Keep individual image file size to less than 300KB. )

O Liver Biopsy w/ Quantitative Copper & Liver Special Stains .................. ..................( For Histopathology: formalin-fixed liver tissue. If needle biopsies, please ........send more than 3. For Quantitative Copper: fresh or formalin-fixed liver tissue; ........................................................................................at least 3 needle biopsies or wedge. )

O Necropsy in a Jar ..........( Multiple samples collected during post-mortem exam ) ......................................................................................................................................

CYTOLOGY O Simple: Single Site ................................( Stained or unstained air dried slides ) O Complex: Choose test type below ..........................................................

........................................( Stained or unstained air dried slides or fluid in LTT ) O FNA of more than one site O Joint Fluid O CSF Analysis O Bone Marrow O Fluid Analysis (non-joint): Source _____________________________________________________________ O BAL

O Digital Cytololgy ......................................( Submission of digital images ) Ask about our streamlined system of digital cytology submission via the Motic Panthera L

NOTE: For detailed information about each test (e.g., methodology, TAT, etc.) visit www.znlabs.com to see the full Directory of Services.

ZNLABS ACCT. #: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___________________________ HOSPITAL/CLINIC: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______________________________________________________________________________________________ VETERINARIAN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

OWNER LAST NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___________________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ANIMAL NAME: ________________________________________________________________________________________ COLLECTION DATE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

SPECIES: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ BREED: ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ AGE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ GENDER: ~M ~M(N) ~F ~F(S) PATIENT ID/MRN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


HISTORY/LESION DESCRIPTION Failure to provide appropriate information may result in delayed results. Duration of Lesion/Clinical Signs: (Attach additional pages as needed)

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Pathologist preference (choose your pathologist!): _______________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

For Mass Lesions: Size: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Shape: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Color: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Consistency: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Distribution: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Working Clinical Diagnosis: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

What exactly do you want to know about the submitted specimen(s)? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

SAMPLE SITE/LOCATION Sample Site/Location # of Slides / # of Tissue Pieces / # of Tubes

1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Standard margin evaluation is included on all applicable specimens. More extensive margin evaluation (serially sectioning or orange peel technique) is available for an additional fee. Please contact the laboratory if you would like more extensive margin evaluation or to discuss with a pathologist.

LR

L

RR

L

R

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L M

L M

DON’T SEE A TEST? CALL US! 1.888.965.9652




ZNLABS ACCT. #: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___________________________ HOSPITAL/CLINIC: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______________________________________________________________________________________________ VETERINARIAN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

OWNER LAST NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___________________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ANIMAL NAME: ________________________________________________________________________________________ COLLECTION DATE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

SPECIES: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ BREED: ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ AGE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ GENDER: ~M ~M(N) ~F ~F(S) PATIENT ID/MRN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


ENDOCRINOLOGY O Extensive K9 or Feline Thyroid Panel ....................................

(K9: TT4, TT3, FT4d, T4AA, T3AA, TSH, TgAA. Feline: TT4, TT3, FT4d, TSH) ............( 2mL serum SST or RTT. Refrigerate or freeze prior to shipment ) ●●

O Malignancy Panel (PTH, PTHrp, iCa++) ........................................ ..........( 0.5mL LTT Plasma & 1mL serum SST or RTT. Freeze sample prior ●●●

..................................to shipment; both plasma & serum required for testing ) O Parathyroid Panel (PTH, iCa++) ..................................................

.......... ( 1mL serum SST or RTT. Refrigerate or freeze prior to shipment ) ●●O Free T4 by ED ................( 1mL serum SST or RTT. Store & ship refrigerated ) ●● O Glucose Curve ........................( 0.5mL serum SST or RTT per specimen.

..................................Please write collection time on each specimen ) ●● O Insulin ........................................................................................ O Ovarian Remnant Syndrome ....................................................

(Anti-Mullerian Hormone, Progesterone) ..............( 0.5mL serum SST or RTT ) ●●

SEROLOGY/INFECTIOUS DISEASE O Knotts ..........................................................................( 2mL LTT ) ● O Feline Coronavirus ........( 1mL serum SST or RTT. Store & ship refrigerated ) ●●

O Brucella Canis RSAT ................................( 0.5mL serum SST or RTT ) ●● O Brucella Canis IFA ....................................( 1mL serum SST or RTT ) ●● O FIP by PCR ....................................( 1mL LTT, CSF, or other body fluid ) ●●O Bartonella by PCR ..........( 4mL LTT or 1mL serum SST or RTT. Can also be

performed on body fluids, lymph node aspirates, fresh/frozen biopsy tissue. ) ●●●

O Bartonella Serology ..................................( 3mL serum SST or RTT ) ●●O Lyme Canine Multiplex Assay ....................( 2mL serum SST or RTT ) ●● O FeLV by IFA ..........( 2 unfixed quality blood smears; ship non-refrigerated ) O FIV by Western Blot ..................................................( 1mL LTT ) ●●O Cryptococcus Antigen ......................( 300uL serum SST or RTT, or LTT ) ●●●

INDIVIDUAL TESTS O Amylase ....................................................( 1mL serum SST or RTT ) ●●

O Protein Electrophoresis ................( 0.5mL serum SST or RTT or 3mL U ) ●●● O Acetylcholine Receptor Antibody/Myasthenia Gravis ............

..............( 1-2mL serum SST or RTT. Collect specimen prior to administration ●●

.......................................... of corticosteroid or other immunosuppressive therapy ) O 2M Antibody Masticatory Muscle Myositis ............................

..............( 1-2mL serum SST or RTT. Collect specimen prior to administration ●●

........................................ of corticosteroid or other immunosuppressive therapy ) O Taurine ............................................( 1mL lithium/sodium GTT; 1mL urine ) ●●O Full Amino Acid Profile ................( 1mL heparinized separated plasma ) O Protein C ....................................................................( 1mL BTT ) ●

PCR TESTING O Individual Organism ....................( Fresh tissue, blood LTT, stool, swab, ●

........................................depending on organisms being tested ) O Pick 4 Organisms ........................( Fresh tissue, blood LTT, stool, swab, ●

............................................depending on organisms being tested )

TOXICOLOGY O Blood Lead ................................................................( 0.5mL LTT ) ●

THERAPEUTIC DRUG MONITORING/PHARMACOLOGY

O Digoxin ....................................( 0.5mL serum RTT or plasma; no SSTs ) ● O Zonisamide ..............................( 0.5mL serum RTT or plasma; no SSTs ) ● O Cyclosporine ..............................................................( 0.5mL LTT ) ● O Levetiracetam (Keppra) ..........................( 0.5mL serum RTT; no SSTs ) ●

HEMATOLOGY O Fibrinogen ..................................................................( Full BTT ) ● O Hemostasis Panel (aPTT, PT, TCT, vWF:Ag) ( 2-3mL BTT. Store refrigerated ) ● O DIC Panel (aPTT, PT, TCT, Fibrinogen, D-Dimer) ................................

........................................................( 2mL BTT. Store refrigerated ) ● HISTOPATHOLOGY

O Mast Cell Tumor Prognostic Panel .......................................... ............................................( Performed on existing biopsy material )

O Mast Cell Tumor PCR Exon 8 &11 c-KIT Gene ........................ ............................................( Performed on existing biopsy material )

O Lymphoma PCR/PARR ............................................................ O T & B Cell........................( Formalin-fixed tissue on unstained slides ) O T or B Cell........................( Formalin-fixed tissue on unstained slides )

O Quantitative Copper ( Paraffin block, or formalin-fixed tissue, or fresh tissue ) O Melanoma Diagnostic Panel/Cocktail ....................................

............................................( Performed on existing biopsy material ) O Melanoma Prognostic Panel ....( Performed on existing biopsy material ) O Histochemical Stains (PAS, GMS, Copper, etc) ..............................

............................................( Performed on existing biopsy material ) O Duplicate Stained Slide ..........................................................

......................................( Additional stained slide from histopathology case ) O Duplicate Unstained Slide ......................................................

..................................( Additional unstained slide from histopathology case ) O Immunohistochemistry (1 Stain) ( Performed on existing biopsy material ) O Immunohistochemistry (Each additional stain on same sample) ..........

............................................( Performed on existing biopsy material )O Necropsy ..................................................................................

CYTOLOGY O Buffy Coat ..........................( 2mL LTT & air dried buffy coat smear slide ) ● O Lymphoma PCR/PARR from cytology slides ................................

..............................................( Stained or unstained cytology slides ) O Immunocytochemistry ..................................( 3-5 unstained slides )

GI/PANCREATIC TESTING O Occult Blood ............................................................( 1-3g fresh F ) ●

NOTE: For detailed info about each test (e.g., methodology, TAT, etc.) visit our website: www.znlabs.com to see the full Directory of Services.

the orange tests THE UNCOMMON STUFF

1.888.965.9652 | www.znlabs.com

PARTNERED WITH

ARPKEY: SST ● : SERUM

LTT ● : WHOLE BLOOD RTT ● : SERUM

F ● : FECES U ● : URINE

BTT ● : CITRATED BLOOD GTT ● : HEPARINIZED BLOOD




the brown tests THE REALLY FRESH STUFF

1.888.965.9652 | www.znlabs.com

PARTNERED WITH

ARPsim

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. frie

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fair.

3 PATIENT MINIMUM

ZNLABS ACCT. #: ______________________________________________ HOSPITAL/CLINIC: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________________________________________________________________________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

COLLECTION DATE: _________________________________________ VETERINARIAN: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________________________________________________________________________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

KEY: F : FECES

MULTI-PATIENT FECAL FORM [3 PATIENTS OR MORE] OVA & PARASITE EXAM

Small Animal Only • ( 3g fresh F )

OWNER LAST NAME ANIMAL NAME SPECIES BREED AGE GENDER PATIENT ID/MRN

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

~M ~M(N) ~F ~F(S)

NOTE: For detailed information about each test (e.g., methodology, etc.) visit our website: www.znlabs.com to see the full Directory of Services.

Documents

the tests - ZNLabs · the green tests THE PATHOLOGY STUFF 1.888.965.9652 | POWERED BY ARP LOGISTICS CHARGE $7 PER PACKAGE No matter how many samples are in the package or one courier