12th ANNUAL ALL BREED HEALTH CLINIC Hosted by: DELAWARE VALLEY HAVANESE CLUB . Date: SUNDAY, OCTOBER 1 ST , 2017 LOCATION: FMI or reservation Radnor Veterinary Hosp. contact: 107 N. Aberdeen Ave [email protected] Wayne, PA 19087 [email protected] Or call (484-816-3163) OFA (DIGITAL) X-RAY HIPS (w/o anesthesia): $70. OFA (DIGITAL) X-RAY ELBOWS (w/o anesthesia): $60. OFA PATELLA: $30. MICROCHIPPING: $45. ………………..…………….……………..Dr. Len Donato

OFA EYE EXAM: $45 each dog.…………………………..…..…Dr. K. Wotman OFA CARDIAC AUSCULTATION: $45 each dog………..…Dr. J. Buchanan CARDIAC DOPPPLER/ECG TESTING: $280. .…….………..Dr. Miller OFA BAER TESTING: ….……………………….………………………Dr. E. Loew 1st dog $50.00 Additional dogs same owner……..$40.00 Extra charge of $5.00 if we only have between 18 & 25 dogs NOTE: We must have at least 18 dogs or BAER TEST will be cancelled. *********REGISTER EARLY********** Dr. Wotman & Dr. Buchanan….…will bring all necessary forms

Go to: www.offa.org to print forms you need to complete at home. You must include your credit card info on the OFA x-ray forms. Dr. Donato will submit digitals to OFA. 2017 12th ANNUAL DVHC All BREED HEALTH CLINIC reservation form Dr. Len Donato OFA Elbows - $60.00 (DIGITAL w/o anesthesia) OFA Hips - $70.00 (DIGITAL w/o anesthesia) OFA Patella exam - $30.00 Microchips - $45.00 Dr. Kathryn Wotman OFA Eye exam - $45.00 each dog Dr. James Buchannan OFA Cardiac auscultation - $45.00 each dog Dr. M.Miller M.S., V,M.D Doppler Echo Ultra Sound ECG: $280.00 each dog Dr. Ellis Loew OFA BAER Testing - $50.00 1st dog and $40.00 per additional dog, same owner NOTE: For BAER TEST: The minimum n Number of dogs needed is 18 or the BAER test will be cancelled. If only 18 to 25 dogs enroll there will $5.00 extra fee.

BREED OF DOG # DOGS Cost # DOGS TOTAL ______#_____dogs for OFA CERF = $45 X #______= $______#_____1st dog for OFA BAER = $50 X #______= $______#_____add’l dogs for OFA BAER = $40 X #______= $______#_____dogs for OFA CARDIAC = $45 X #______= $______#_____dogs for doppler ECHO = $280 X #______= $______#_____dogs for OFA PATELLAS = $30 X #______= $______#_____dogs for OFA ELBOWS = $60 X #______= $______#_____dogs for OFA HIPS = $70 X #______= $______#_____dogs microchipped = $45 X #______= $______

Your Check #______TOTAL AMOUNT DUE FOR ALL TESTS $______

Prefer AM / PM (circle one) WE WILL CALL YOU TO MAKE AN APPOINTMENT

NAME______PHONE______

Address ______

Email ______

You will save a great deal of time if you go to the offa web site www.offa.org and download the forms you need for your testing. Fill out the forms before you come. All forms for x-rays must have your credit card info. Dr Donato will submit digitals to OFA

LOCATION OF CLINIC Radnor Veterinary Hospital 107 N Aberdeen Avenue Wayne, PA, 19087 For more information call (484) 816-3163 or Email: [email protected] or: [email protected]