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Antech Diagnostics Form 1W free printable template

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This document serves as a submission form for veterinary specimens, allowing the user to provide patient and owner information, select applicable tests and profiles, and submit samples for analysis.
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How to fill out Antech Diagnostics Form 1W

01
Begin by downloading the Antech Diagnostics Form 1W from the official website or printing it from a provided link.
02
Fill out the client's information at the top of the form, including name, address, and contact details.
03
Provide patient information including pet's name, species, breed, age, and any relevant medical history.
04
Indicate the type of samples being submitted (e.g., blood, urine) and ensure they're properly labeled.
05
Fill out the details of the tests being requested by checking the appropriate boxes on the form.
06
Include any specific instructions or notes that are necessary for the diagnostic team.
07
Review the entire form for accuracy, ensuring all sections are completed.
08
Sign and date the form to confirm the submission of the specimen.

Who needs Antech Diagnostics Form 1W?

01
Veterinarians who need diagnostic testing for their patients.
02
Pet owners who are instructed by their vets to provide samples for analysis.
03
Animal hospitals and clinics that partner with Antech Diagnostics for laboratory services.
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Antech brings together scientific rigor, medical expertise, and unparalleled access to pet health data to develop diagnostic solutions that increase pets' ability to thrive and free veterinarians to do what they do best.
This is a canine vector-borne disease screening for heartworm, Lyme disease (includes screening for antibodies against two C6 peptides), E. canis, and A. phagocytophilum.
* Mars already owns Antech, one of the world's largest veterinary reference laboratories, which does diagnostic lab work off-site.
At the heart of Antech are two foundational truths — a deep affection for animals and a desire to see them live longer, healthier lives. We're committed to supporting veterinary care teams with a flexible, can-do spirit resulting in healthy pets, happy pet parents, and a high-performing practice.
This is a canine vector-borne disease screening for heartworm, Lyme disease (includes screening for antibodies against two C6 peptides), E. canis, and A. phagocytophilum.
RETENTION OF SPECIMENS, IMAGES, TEST RESULTS, AND REPORTS Clinical SubmissionsBiological Specimens7 daysSlides90 daysPathology (Histology) SubmissionsBiological Specimens (wet tissue in formalin)30 days13 more rows

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Antech Diagnostics Form 1W is a document used by veterinarians and animal healthcare professionals to submit laboratory samples and information for diagnostic testing from Antech Diagnostics.
Veterinarians and animal healthcare practitioners who are submitting samples for laboratory analysis to Antech Diagnostics are required to file Antech Diagnostics Form 1W.
To fill out Antech Diagnostics Form 1W, provide all necessary information including the owner's details, animal identification, requested tests, and any relevant clinical history.
The purpose of Antech Diagnostics Form 1W is to ensure accurate and organized submission of laboratory samples, facilitating efficient processing and reporting of diagnostic results.
The information that must be reported on Antech Diagnostics Form 1W includes the owner's name and contact information, animal's name and species, type of sample, specific tests requested, and any pertinent medical history.
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