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Laboratory Test Request Form

Laboratory Test Request Form

Please fill out the form below or Download the form and send it to us via email. If you experience any problems making an online referral, please call us on +971 (2) 412-6555 or email enquiries@drvet.ae

    Sender’s Information




    Sample Details




    Patient Information



    Male Neutered Female Spayed

    Required Tests Group(s)

    BacteriologyCytology

    MycologyParasitology

    BiochemistryUrine

    HaematologyImmunology

    Other

    *Please tick required tests

    Bacteriology

    Culture (Growth /No Growth)
    Sensitivity
    Culture Salmonela/Shigela Only (Faeces)
    Blood Culture (Including bottle) Please colect bottle
    Water Test for Coloformes

    Mycology

    Dermatophyte Culture

    Other Fungi and Yeast Culture

    Cytology

    Synovial Fluid/CSF Analysis
    Hair and Skin scrape of ecto-parasites and fungal elements
    Gram's Stain for detection and differentiation of bacteria
    Rapid Stain (assessment for inflammation, cellular morphology, fungal elements)
    Ziehl-Neelson Stain for Mycobacteria
    Modified Ziehl-Neelson for Cryptosporidia

    Parasitology

    Faecal Flotation and Native
    Blood Parasites (Blood Smear)
    Baermann Test to Detect Nematod Larvae

    Urine

    Dipstick only
    Dipstick +Sediment – Culture Included
    Dipstick +Sediment – Culture Not Included
    UPC – Urine Protein Creatinine Ratio
    SediVueUrine Sediment Analysis

    Biochemistry

    Falcon Profile
    Parrot Profile
    Other Avian
    Canine/Feline Search Profile
    Canine/Feline Extended Profile Including Bile Acids
    All Other Mammal Profile
    Reptile Profile
    Electrolytes
    Canine/Feline Pancreatic Lipase Test

    Haematology

    CBC, All Species
    PCV
    Smear Assessment
    Reticulocyte

    Immunology

    Canine Parvovirus (AG) Rapid Test
    Canine Coronavirus (AG) Rapid Test
    Canine Distemper Virus (AG) Rapid Test
    Canine / Feline Giardia (AG) Rapid Test

    Feline Panleukopenia (AG) Rapid Test
    Feline Coronavirus (AB) Rapid Test
    Feline FeLV (AG) &FIV (AB) Rapid Test
    Canine Ehrlichia (canis and ewingii), Anaplasma (phagocytophilum and platys), Borrelia burgforferi (AB), Dirofilaria immitis (AG) test combo

    Single Biochemistry Parameters

    *Please tick required tests

    AlbALKPALT
    AmmoniaAmylaseAST
    Bile AcidBilirubin TotalCalcium
    CholesterolCortisolCK
    CreaFructosamineGGT
    GlucoseMagnesiumPhenobarb
    Phosphor InorgSDMAT4 Total
    TriglycerideTot. ProteinUrea
    Uric AcidCRP

    Profile Compositions

    Canine/Feline Search

    Canine/Feline Extend

    All other Mammals

    TP

    TP

    TP

    Alb

    Alb

    Alb

    Alb /Glob

    Alb /Glob

    Alb /Glob

    Globulin

    Globulin

    Globulin

    GLU

    GLU

    GLU

    Crea

    Crea

    Crea

    BUN

    BUN

    BUN

    BUN/Crea

    BUN/Crea

    BUN/Crea

    Chol

    Chol

    Chol

    ALT

    ALT

    ALT

    ALKP

    AST

    AST

    GGT

    ALKP

    ALKP

    Bilirubin

    GGT

    GGT

    Amylase

    Bilirubin

    LDH

    Lipase

    Bile Acid

    Bilirubin

    Ca

    Amylase

    CK

    P

    Lipase

    Ca

    CK

    P

    Ca

    P

    Falcon Profile

    Parrot Profile

    Reptile Profile

    TP

    TP

    TP

    Alb

    Alb

    Alb

    Alb /Glob

    Globulin

    Alb /Glob

    Globulin

    AST

    Globulin

    GLU

    Bile Acid

    AST

    AST

    Chol

    BUN

    Bile Acid

    CK

    CK

    CK

    Ca

    Ca

    Uric Acid

    P

    P

    Uric Acid

    Uric Acid

    Electrolytes

    Cl

    K

    Na

    Document (Max 2MB)

    Report will be sent via email. Please tick to request additional phone call:

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