VDx Veterinary Diagnostics and Preclinical Research Services

New Client Form

* = required field

Clinic name*

Mailing address*
(statements will be mailed to this address the first of each month for the previous month’s services.)

Address for sample pickup (if different)

Phone*

After hours phone
(so we can return calls at lunch, after closing, etc.)

Fax (reports will be sent by fax to this number)

Email*

Preference for results:

fax

both

Doctors’ names (first and last names please)

Head Tech’s name (or other contact person)

Clinic hours

How did you hear about VDx?