Non Xray Appointment Form Name (required) Telephone (required) Email (required) Address City State Zip Show Date Requested (required) Preferred Time Requested Animal’s Call Name Animal’s Registered Name Breed Animal’s Registration Number (needed for semen freezing and xray appointments) Co-owner name(s) - (needed for semen freezing appointments) Reason for appointment (choose all that apply): Semen Freezing Semen Analysis Reproductive Consultation OFA Hips Preliminary Hips OFA Elbows Preliminary Elbows OFA Shoulders Preliminary Shoulders OFA Patella OFA Cardiac OFA Thyroid Standard Thyroid Microchip Other (specify): *For semen freezing/ analysis appointments: please download and complete semen freezing storage agreement, semen transfer form, and credit card application (if applicable) and bring completed form to appointment. *For X-ray appointments: please download appropriate OFA forms from www.offa.org, client information form, credit card application (if applicable) and bring completed forms to appointment. *Failure to have completed forms ready at time of appointment may result in appointment delay or cancellation. Digital radiology appointments at dog shows can be busy at times. You will have only a short time for the actual x-ray appointment and Dr. Popkin’s evaluation. He has been taking and evaluating films to be sent to the OFA since 1981 and has become very accurate in estimating what the OFA’s reading will be. You will be able to compare your dog’s film side by side with standards already evaluated by the OFA. In addition you will be able to discuss the case further with Dr. Popkin later in the day or a different day after the appointments are finished. There is some subjectivity involved in the evaluation process so there can never be 100% correlation between Dr. Popkin and the OFA. The evaluation will come in the mail in approximately 2 weeks directly from the OFA which has the final word in the process. When you arrive for your radiology appointment, please have all OFA applications completed with all required information including AKC numbers, and microchip numbers. If your dog does not have a microchip, we can provide it. The applications can be downloaded from the OFA Web site. Applications are available at the show however you must have these forms completely filled out by the time of the x-ray appointment so please come to our trailer well in advance of your appointment if you have not downloaded the form. Semen freezing appointments: Please have a completed semen freezing application at the time of your appointment. It can be downloaded from our Forms section seen on the home page of this site. Please also download and bring a copy of the Semen Transfer Form. Fill out only your personal information (name address, etc) and leave all other sections blank. We always attempt to have teaser bitches available at the show however this is not possible at all times. It is always best to try to have one available yourself and come with her. You may call the day before your appointment to be sure we have one. Some dogs can be collected without teasers. Other appointments: Please complete Client Information Sheet before arriving at your appointment. This can be found in the Forms section. All clients planning to pay with credit card should download and complete the credit card authorization form found in the Forms section.

Breeder's Veterinary Services :: 707-495-6424 PLEASE NOTE: Emails will be responded to more quickly than telephone calls. Please use email whenever possible.