SAMPLE SUBMISSION FORM Veterinary Diagnostic Laboratory
Veterinary Diagnostic Laboratory SAMPLE SUBMISSION FORM VDL Profiles Guide Fee (ex GST) PATHOLOGIST INTERPRETATION HAEMATOLOGY FBC Fibrinogen Serum Amyloid A Platelet Count PT & APTT CHEMISTRIES Albumin ALP ALT Amylase Anion gap AST Betahydroxybutyrate Bicarbonate Bilirubin Calcium Cholesterol Chloride Creatinine CK GGT GLDH Globulin Glucose Lipase Magnesium Phosphate Potassium Sodium Total Protein Triglycerides Urea Uric Acid (Fees are current for 2012 and are subject to change thereafter) CANINE Complete Profile $75.00 Health Profile1 $45.00 $45.00 Greyhound Racing Profile FELINE Complete Profile $75.00 Health Profile1 EQUINE $45.00 Complete Profile2 $71.50 Racing Profile $42.00 Inflammatory Profile $55.00 Respiratory Profile3 RUMINANT +/- +/- $175.00 Complete Profile $71.00 Health Profile $60.00 Downer Cow Profile AVIAN/REPTILE $48.00 Complete Profile GENERAL $72.00 Coagulation Profile $85.00 Pre-anaesthetic Screen $50.00 Kidney Profile $62.00 Liver Profile Pancreas Profile 1. Also includes T4 $45.00 $55.00 2. Choice of fibrinogen or SAA 3. Equine complete profile plus TW & BAL cytology, TW culture. Complete Profile Health Profile Health Profile Greyhound Racing Profile Downer Cow Profile Complete Profile Health Profile Fl. Oxalate Citrate Plain Complete Profile CANINE Li Hep EDTA Fl. Oxalate Citrate Li Hep Blood Collection Guide for Profiles Plain EDTA RUMINANT FELINE AVIAN/REPTILE EQUINE Complete Profile GENERAL Complete Profile Pre-anaesthetic Screen Racing Profile Kidney Profile Inflammatory Profile Liver Profile Respiratory Profile Pancreas Profile Coagulation Profile VETERINARY DIAGNOSTIC LABORATORY Building 295, Nathan Cobb Drive Wagga Wagga NSW 2650 SAMPLE SUBMISSION FORM Veterinarian: Animal ID: Address: Species: Breed: Ph: Age: Gender: Fax: Owner’s name: Email: Invoice (tick ) submitter CSU code: Owner’s address: Copy Report (s) to: HISTORY, SIGNS, LESIONS: DIFFERENTIAL DIAGNOSIS: 1. SAMPLES SUBMITTED (tick ) 2. 3. Blood, clotted Blood, EDTA Blood, Li hep Fluid Blood, citrate Blood, fl/ox Slide Faeces COLLECTION TIME: TESTS REQUESTED (tick ) Profiles Canine complete Feline complete Canine/feline health Greyhound racing Equine complete Equine racing Equine inflammatory Equine respiratory Ruminant complete Ruminant health Downer cow Avian & reptile complete Coagulation Pre-anaesthetic Liver Kidney Pancreas Add to profile: Cytology Fine needle aspirate Cavity fluid Joint fluid BAL TTW CSF Other (specify sample): plus culture & sensitivity Swab Haematology Full blood count Fibrinogen Serum amyloid A Reticulocyte count (no FBC) Platelet count (only) Prothrombin time APTT Coomb’s test Cross match Tissue, unfixed Microbiology/virology Aerobic (only) culture Aerobic & anaerobic culture Blood culture Equine uterine Equine clitoral Milk culture & sensitivity Faecal (specify panel): Sensitivity Biochemistry Fungal, wet mount & culture Canine complete panel PBFD (HA, serology & PCR) Feline complete panel Equine complete panel Parasitology Ruminant complete panel Faecal floatation Avian/reptile complete panel Worm egg count, individual Equine muscle enzyme panel Worm egg count, pooled Electrolyte panel Larval culture Eye fluid panel Fluke egg count, individual Add to panel: Fluke egg count, pooled Liver fluke antigen ELISA Total worm count Urinalysis Urinalysis & sediment exam plus stained cytology plus culture & sensitivity Urine protein: creatinine I authorise Charles Sturt University to use the samples that I have submitted and the results of the tests that I have requested for teaching and research purposes. Tissue, fixed Other: DATE: Endocrinology Canine ACTH Equine ACTH Canine insulin Equine insulin Cortisol Urine cortisol:creatinine ACTH stim LDDT HDDT Equine O/N dex supp. test Total T4 Canine TSH Progesterone Testosterone Biopsy/necropsy Histopathology Necropsy, routine Necropsy, legal/insurance Serology for: Other tests: SIGNATURE: DATE: Laboratory Details Opening Hours Monday - Friday, 8.30 am - 5.00 pm, except public holidays. For all enquiries, please contact the laboratory by phone/fax, (02) 6933 4000, or by email to [email protected] Courier Service The VDL courier picks up from veterinary clinics and hospitals in Wagga Wagga at 11.30am - 12.30pm and 4.30 5.30pm, Monday to Friday. Clinics are also welcome to deliver specimens to the VDL during its opening hours. Our preferred courier from other centres is Toll Priority. For a pick-up, phone 131531 and consign on account 291133. For pre-addressed consignment notes, simply phone the VDL. Samples submitted by courier should be packed to IATA Packing Instruction 650, which can be found at www.iata.com The VDL courier address is: The VDL postal address is: Veterinary Diagnostic Laboratory (Bldg 295) Veterinary Diagnostic Laboratory Nathan Cobb Drive School of Animal & Veterinary Sciences Charles Sturt University Locked Bag 588, Boorooma Street WAGGA WAGGA NSW 2650 WAGGA WAGGA NSW 2678 Submission of Samples Samples must be submitted in biohazard bags (provided on request), together with a Sample Submission form (also provided). All samples must be correctly identified and labelled, and Sample Submission forms must be fully filled out. The ‘TESTS REQUESTED’ section of the Sample Submission form lists only the VDL’s more frequently requested tests. Its full range of tests is in its Services & Fee Schedule handbook. Use the ‘Other tests’ section of the form to request tests that are not listed on the form or in the handbook. The VDL does not accept samples submitted in a syringe with needle attached. These samples should be submitted in sterile, screw-capped containers for the safety of couriers and laboratory staff. Faeces should not be submitted in plastic bags. Turn-around Times Listed below are our turn-around times for various services. These are from receipt at the laboratory, and are for tests performed in-house (including all routine clinical and anatomical pathology). • Haematology, biochemistry, cytology and urinalysis: 4 working hours. • Biopsies and post-mortem histopathology: 2-3 working days unless processing necessitates a delay, e.g. inadequately fixed, large samples, or tissue requiring decalcification; the VDL will inform the submitting veterinarian of any such delay. Large animals’ brains may take longer. The results of special stains may be reported later. • Post-mortems, gross findings: 1 working day, except insurance and legal post-mortems, which may take longer. The timing of further reports depends on the submitter’s requirement for additional testing. • Microbiology: preliminary results within 1 working day. Follow up results depend on the type of organism, rapidity of growth, etc. • Parasitology: simple tests, e.g. FEC, within 1 working day. Other tests depend on the complexity of requirements. Some specialised tests are out-sourced. Their turn-around times are dependent on the laboratory to which the tests are referred. For any extra advice regarding specimen collection and transport to the VDL, and for all general enquiries, please contact the lab. Phone/Fax: 02 6933 4000 Email: [email protected] Website: www.csu.edu.au/vetservices/vdl Charles Sturt University Building 295, Nathan Cobb Drive Veterinary Diagnostic Laboratory Director: John Boulton Phone/Fax: +61 2 6933 4000 Laboratory Manager: Lori Blechynden ABN 83 878 708 55 Wagga Wagga NSW 2650 Email: [email protected] Website: www.csu.edu.au/vetservices/vdl
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