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Buccal Swab Kit Request Form

To receive a buccal swab sample collection kit by mail, please enter your mailing information below.  Please note that some fields must be completed before your submission will be accepted.

Please be sure your breed is listed before proceeding:

  • Addison’s: Great Dane, Leonberger, Portuguese Water Dog & West Highland White Terrier
  • Epilepsy: Belgian Tervuren, Belgian Sheepdog, Giant Schnauzer, English Mastiff, Miniature Poodle & Toy Poodle
  • Addison’s and/or SLO: Bearded Collie
  • Addison’s and/or Epilepsy: Standard Poodle

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.

  • We need both affected and healthy older dogs for the study.
  • The information that you enter will be used to create your mailing label.  Please ensure that the information is accurate.
  • You should receive your kit within 10 – 14 business days.

Buccal Swab Kit Request Form