South Bend Animal Hospital

Dr. Evan Vanderbilt

1984 W. Forest Dr.

Spartanburg, SC 29301


Date: 11/8/2016


Owner's Name & Address:


Jorgenson, Nicole

3960 Nora Ave.

Pocatello, ID 83204


Patient Name & Information:

Name: Hercules Jorgenson Species: Canine

Sex: Male Breed: Standard Poodle

Color: White DOB: 3/10/2015

Certifications: Seizure Alert Dog


Test Result(s):


Test

Result

Source

vWd

Clear (93%)

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 2016 OFFA