Radiographic Technique
Instructions
Forms
Submit a Case

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Radiographic Technique
Instructions
Forms
Submit a Case

Radiographic Technique
Instructions
Forms
Submit a Case

Menu

Radiographic Technique
Instructions
Forms
Submit a Case

Submit a Case

Submit a case for scoring

Is your dog registered with: *

Australian National Kennel Council (ANKC)

Other Kennel Clubs or NOT Registered

Dog details

Dog's name *

Dog's registration number

Breed *

ANKC Number *

ANKC Name *

Dog's DOB *

Microchip *

Dog's gender

Owner's details

Owner/s Full Name *

Owner's email *

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Veterinarian

Veterinarian's Full Name *

Veterinarian's Email *

Are you a Vet or a Owner? *

Vet

Owner

File Upload: If you are sending the images directly, please upload the form here

Maximum upload size: 1024MB

Comments

How would you like to pay? *

My Products *

Hip and elbow dysplasia scoring - $100

Hip dysplasia scoring - $80

Elbow dysplasia scoring - $50

Hip dysplasia and Hemivertebrae scoring - $110

Hemivertebrae scoring - $80

3 regions - $150

Credit Card

Are you sending the files separately?

I am sending the files separately

How are you sending the files?

If you are human, leave this field blank.

No files have been uploaded!

If you want to submit the application without files, you need to specify how you are going to send the files below:

This field is required

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