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Johne's Disease Test
Sample Submission Form
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Allied Case No.: |
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Date Received: |
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Date Reported: |
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Invoice No.: |
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Page Number:_____of_____ |
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Veterinarian:
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Herd Owner:
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Clinic Name:
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Name:
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Address:
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Address:
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City, State, Zip:
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City, State, Zip:
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Fax: |
Phone: |
Fax: |
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Date Specimens Were Collected: |
Date Specimens Were Shipped: |
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Total Number of Specimens: |
Owner Signature: |
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* Test results will
be sent to veterinarian noted above. |
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Species to be Tested
(Please Check)
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Bovine
(Cattle) |
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Ovine
(sheep) |
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Caprine
(goat) |
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Other:
(_______) |
Test to be Conducted
(Please Check)
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Serum
ELISA |
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Milk
ELISA |
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Fecal
culturing |
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AGID
on all samples
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* A confirmative
AGID test will be performed for all positive Serum ELISA results
at an additional cost, unless no AGID is indicated below.
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No
confirmative AGID test for any serum sample |
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Specimen Information Column
Testing Laboratory Results Column
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Container
Identification |
Animal Information |
Sample I.D. |
ELISA |
AGID |
Fecal Culture |
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Age |
Identification |
Health Condition |
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Print
Form And Submit With Samples - For Additional Samples, Copy Second Page
Test
results should be used for herd health management: not as
qualification for purchase, sale or vaccination. The ELISA and AGID
tests are presumptive and unofficial since these tests quantitative 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 animals health condition when submitting samples.
Fecal culturing remains the Gold Standard in Johne's testing. Since
organisms are shed intermittently, a negative fecal result does not rule
out the presence of the disease. Routine testing is recommended.
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