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Pennsylvania Animal Diagnostic Laboratory SystemAccession #: (Lab Use Only)Chronic Wasting Disease Submission Form HAND DELIVER TO ONE OF THE LABS BELOW OR IF MAILING, SUBMIT ONLY TO THE HARRISBURG
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How to fill out cwd specimen submission and

01
To fill out a CWD specimen submission form, follow these steps:
02
Start by providing your personal information, including your name, address, phone number, and email.
03
Specify the type of specimen being submitted, such as tissue, blood, or urine.
04
Indicate the date and time the specimen was collected, as well as the name of the person who collected it.
05
Provide details about the animal or patient from which the specimen was collected, including species, breed, age, and any relevant medical history.
06
Describe the reason for submitting the specimen and specify any specific tests or analyses requested.
07
If applicable, include information about any medications or treatments the animal or patient is currently receiving.
08
Finally, sign and date the form to certify the accuracy of the information provided.
09
Make sure to carefully review the form before submitting it to ensure all necessary information is provided and any required supporting documentation is included.

Who needs cwd specimen submission and?

01
CWD specimen submission is needed by individuals or organizations involved in wildlife research, particularly for the surveillance and monitoring of Chronic Wasting Disease (CWD).
02
This may include wildlife management agencies, veterinary laboratories, researchers, and hunters.
03
CWD is a transmissible neurological disease affecting deer, elk, and other cervid species, and specimen submission is crucial for early detection, surveillance, and prevention efforts.
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CWD specimen submission refers to the process of submitting samples from animals for testing for Chronic Wasting Disease (CWD), a contagious and fatal neurological disease affecting deer, elk, and moose.
Individuals who harvest deer, elk, or moose in areas where CWD is known to exist are typically required to file CWD specimen submissions.
To fill out the CWD specimen submission form, provide accurate details such as the hunter's information, the location of the harvest, date of harvest, and any other wildlife identification details as specified on the form.
The purpose of CWD specimen submission is to monitor and manage the spread of Chronic Wasting Disease among wildlife populations and to protect public health and safety.
The information that must be reported includes the submitter's contact information, the species and number of animals tested, location of harvest, date of harvest, and any relevant identification numbers.
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