South Bend Animal Hospital

Dr. Evan Vanderbilt

1984 W. Forest Dr.

Spartanburg, SC 29301


Date: 10/28/2010


Owner's Name & Address:


Jorgenson, Nicole

534 Bluebird Dr.

Chubbuck, ID 83202


Patient Name & Information:

Name: Zeus Jorgenson Species: Canine

Sex: Male Breed: Standard Poodle

Color: White DOB: 2/1/2010

Certifications: Seizure Alert Dog


Test Result(s):


Test

Result

Source

vWd

Clear (89%)

PDV-368/10-8

NC State University

College of Veterinary Med.

4700 Hillsborough St.

Raleigh, NC 27606

Thyroid

Clear

NC State University

College of Veterinary Med.

4700 Hillsborough St.

Raleigh, NC 27606

HD (Hip Dysplasia)

GOOD

In office x-ray and exam


Elbows

Normal

In office x-ray and exam


CERF (Eyes)

Clear for Breeding

Tested 2010 OFFA





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Owner Veterinarian