Cytology request form

Please contact us before filling the form for the first time. After the form is submitted, you will receive a copy to your email address. Example of a filled-in request form

Current prices from 1 October 2023 (click on link).

Surname of the veterinarian *

Veterinary clinic *

E-mail for answers *

Sample shipment options *

Send yourself
Shipping arranged by VetCyto (for additional cost)

Information about the animal

Animal name *

Animal ID *

Animal species *

Dog
Cat
Horse
Other

Animal sex *

Female
Male
Unknown

Spayed/neutered? *

Yes
No
Unknown

Age *

Age in full years. If less than 1Y is selected, a new entry field will appear.

Animal breed *

Clinical examination and sample

Clinical diagnosis *

Anamnesis *

Previously operated tumor? *

Type of sample *

Needle aspirate/non-aspiration
Impression smear
Other

Sample location *

Check guidelines for all samples

Date of sampling *

File Upload (if necesarry)

Click or drag files to this area to upload. You can upload up to 5 files.

Please attach the files here

Terms and Conditions *

Hereby I confirm, that I have read and understood sampling guidelines

. SEB Iedvesma toetusprogrammi toel loodud lehekülg.

info@vetcyto.com

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Cytology request form

Information about the animal

Clinical examination and sample

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Your contact information

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