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Athens Veterinary Diagnostic Laboratory College of Veterinary Medicine University of Georgia 501 D. W* Brooks Dr. Athens Georgia 30602-7383 Tel 706 542-5568 Fax 706 583-0654 Website www. vet. uga*edu/dlab Check one Pick up Fax E-mail Veterinary License Number Required Report to Animal s ID Date Clinic Name Owner Address City State Zip Telephone County Specimen SpeciesBreed Sex Age PLEASE FILL OUT THIS FORM COMPLETELY INCLUDING HISTORY ON REVERSE SIDE By submitting diagnostic specimens to...
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