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1300 Oleksandr Spring Road Sandy Spring, Maryland 20860 pH: 3017749500 Fax: 3015705121 Email: reception ssh.comPennHip Submission Form FOR HOSPITAL USE ONLY Member Name: Radiograph Date (MM/DD/YYY):
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How to fill out pennhip submission form

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How to fill out pennhip submission form

01
To fill out the PennHIP submission form, follow these steps:
02
Start by entering your personal and contact information in the designated fields, such as your name, address, phone number and email.
03
Provide the necessary details about the dog being evaluated, including its registered name, breed, date of birth, and sex.
04
Next, specify the purpose of the evaluation and select the appropriate PennHIP method (Distraction, Compression, or 3-D DI).
05
Then, provide information about the veterinarian who performed the PennHIP evaluation, including their name, clinic name, address, and contact information.
06
In the next section, fill in the relevant hip-extended view details, including the date of the radiographs, certification number, and any additional comments or notes.
07
Finally, review all the provided information, sign the form, and submit it along with the required radiographic images to PennHIP for evaluation.
08
Note that the submission form may vary slightly depending on the specific requirements of the PennHIP program you are participating in. It is essential to carefully read the instructions provided by PennHIP before filling out the form.

Who needs pennhip submission form?

01
The PennHIP submission form is needed by individuals who wish to have their dogs evaluated for hip dysplasia using the PennHIP method.
02
This evaluation is typically sought after by dog owners, breeders, and veterinarians who are interested in assessing a dog's risk of developing hip dysplasia or evaluating breeding suitability.
03
By submitting the PennHIP form and radiographic images, individuals can obtain valuable information about a dog's hip joint laxity and potential for developing osteoarthritis.
04
This information can help guide breeding decisions, identify dogs at risk for hip dysplasia, and contribute to improving overall hip health in various dog breeds.
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The PennHIP submission form is a document used for submitting radiographic evaluations of a dog's hip joint to the PennHIP program, which assesses the risk of hip dysplasia.
Breeders, veterinarians, and pet owners who wish to evaluate their dog's hip joint for potential dysplasia risk are required to file the PennHIP submission form.
To fill out the PennHIP submission form, applicants must provide details such as the dog's identification information, owner information, and specific radiographic data as instructed on the form.
The purpose of the PennHIP submission form is to collect the necessary information and radiographs that allow for the evaluation of a dog's hip joint stability and the assessment of hip dysplasia risk.
The information that must be reported on the PennHIP submission form includes the dog's name, registration number, breed, age, owner's name and contact information, as well as the details of the veterinarian performing the evaluation.
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