Buccal Swab Kit Request


CGAP Home                  FAQs                     Addison's Disease            Epilepsy Disease        SLO          Update Health of Previously Submitted Dogs             Donations and Support


                Addison's: Bearded Collie, Great Dane, Leonberger, Portuguese Water Dog, Standard Poodle & West Highland White Terrier

                Epilepsy: Belgian Tervuren, Belgian Sheepdog, Giant Schnauzer, English Mastiff, Miniature Poodle, Standard Poodle & Toy Poodle

                SLO: Bearded Collie 

               

                Note: You will receive a questionnaire for Addison's and SLO when requesting a kit for Bearded Collies and you will receive a questionnaire for Addison's and Epilepsy when requesting a kit for Standard Poodles.


 Breed                                                     

 First Name    Last Name   

 Address 1   

 Address 2

 City                State/Province (abbr)

 Zip Code             Country (if not USA)

 Phone (area code+number)          Fax   

 E-Mail

 Number of Kits  

 Comments

If your dog is unaffected with the disease, please submit a health update annually, even if the dog is still healthy. 

 

Click here for Addison's and Epilepsy Health Update Form

 

Click here for SLO Health Update Form

 

Please Note:  This kit is for participation in a research study only - it is not a test to verify if your dog does or does not have this disease.  All submissions are confidential and results for individual dogs will not be made available.