The Paratuberculosis Laboratory P.O. Box 71 201 Golden Drive Fayette, MO 65248, USA Phone: (660) 248-2823, (800) 248-9330 Fax: (660) 248-1334 Allied Case #: Date Received: Date Reported: Invoice #: Page#: 1 of Email: [email protected] Website: www.alliedmonitor.com Johne's Disease Test Sample Submission Form Veterinarian: Clinic Name: Address: City, State, Zip: Phone/Fax: Herd Owner: Name: Address: City, State, Zip: Phone/Fax: Owner's signature: Specimen collection date: Date: Specimen shipping date: *Test results to be sent to veterinarian noted above Species to be Tested # of specimens submitted Test to be Conducted Fecal Culturing (choose a culturing method) Bovine (cattle) Ovine (sheep) Individual Caprine (goat) Pooled Other: PCR Milk ELISA Serum ELISA* AGID on serum samples NO AGID test for any serum samples * A supportive AGID test will be performed for all positive Serum ELISA results at an additional cost, unless no AGID is indicated above. Container ID Specimen Information Animal Information Age Animal ID Health Condition 1 2 3 4 5 6 7 8 9 10 Testing Laboratory Results Sample ID ELISA AGID 1 2 3 4 5 6 7 8 9 10 Fecal Test results should be used for herd health management; not as qualification for purchase, sale or vaccination. The ELISA and AGID test are presumptive and unofficial since these tests quantitate the circulating antibodies to Mycobacterium avium ssp. paratuberculosis (MAP): not the disease per se. Late pregnancy and anergy due to advanced paratuberculosis may cause depressed serological titers, for these reasons, please not e each animal's health condition when submitting samples. Fecal culturing remains the Gold Standard in Johne's testing. Since the organisms are shed intermittently, a negative fecal result does not rule out the presence of the disease. Routine testing is hightly recommended. **For additional samples continue to next page** The Paratuberculosis Laboratory P.O. Box 71 201 Golden Drive Fayette, MO 65248, USA Phone: (660) 248-2823, (800) 248-9330 Fax: (660) 248-1334 Allied Case#: Page#: 2 of Email: [email protected] Website: www.alliedmonitor.com Container ID Specimen Information Animal Information Age Animal ID Health Condition 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Testing Laboratory Results Sample ID ELISA AGID 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Fecal Test results should be used for herd health management; not as qualification for purchase, sale or vaccination. The ELISA and AGID test are presumptive and unofficial since these tests quantitate the circulating antibodies to Mycobacterium avium ssp. paratuberculosis (MAP): not the disease per se. Late pregnancy and anergy due to advanced paratuberculosis may cause depressed serological titers, for these reasons, please note each animal's health condition when submitting samples. Fecal culturing remains the Gold Standard in Johne's testing. Since the organisms are shed intermittently, a negative fecal result does not rule out the presence of the disease. Routine testing is hightly recommended. The Paratuberculosis Laboratory P.O. Box 71 201 Golden Drive Fayette, MO 65248, USA Phone: (660) 248-2823, (800) 248-9330 Fax: (660) 248-1334 Allied Case#: Page#: 3 of Email: [email protected] Website: www.alliedmonitor.com Container ID Specimen Information Animal Information Age Animal ID Health Condition 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 Testing Laboratory Results Sample ID ELISA AGID 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 Fecal Test results should be used for herd health management; not as qualification for purchase, sale or vaccination. The ELISA and AGID test are presumptive and unofficial since these tests quantitate the circulating antibodies to Mycobacterium avium ssp. paratuberculosis (MAP): not the disease per se. Late pregnancy and anergy due to advanced paratuberculosis may cause depressed serological titers, for these reasons, please note each animal's health condition when submitting samples. Fecal culturing remains the Gold Standard in Johne's testing. Since the organisms are shed intermittently, a negative fecal result does not rule out the presence of the disease. Routine testing is hightly recommended.
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