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Guam Rail Necropsy Form

Please fax to the Guam Rail SSP Veterinary Advisor

Attn: Deidre K. Fontenot, DVM

FAX # 407-939-6238

Email:  deidre.k.fontenot@disney.com

GUAM RAIL SSP NECROPSY REPORT SUMMARY            date:_______________

 

SSP: ______________________ STUDBOOK NO.___________ ID:___________ 

AGE: __________   SEX: ________________ DATE OF DEATH:________________ 

HOLDING INSTITUTION: _______________ VETERINARIAN: ______________ 

SSP VET ADVISOR: ________________  FAX_____________ EMAIL___________  
 

ANTE MORTEM PROBLEMS/ILLNESS SUMMARY: 
 
 
 
 

CAUSE OF DEATH  tentative: ___ confirmed: ____ open: _____

SIGNIFICANT POST-MORTEM LESIONS 

 
 
 
 
 
 
 
 
 

PLEASE ATTACH COPIES OF PERTINENT LAB DATA.


SSP NECROPSY REQUEST

      Shipping/processing costs of SSP requested samples are the responsibility of the holding institution unless other arrangements have been made.

SSP: ______Guam Rail ________________________

SSP Vet Advisor: __Deidre K. Fontenot, DVM_____

INSTITUTION: ______Disney’s Animal Programs_

address: _____________1200 North Savannah Circle E Bay Lake, FL, 32830-1000_____PH: 407-939-6238     

E-mail: deidre.k.fontenot@disney.com    

FAX: 407-939-6391

    REQUESTS: No special requests over and above the complete necropsy and tissue/sample analysis required to determine cause of death and general ante- mortem state of health.  Please forward a final copy of necropsy report and lab results to the SSP Veterinary Advisor as above.

PREFERRED LABORATORIES

      Histopath: none

      Cytology: none

      Culture: Acid fast- National Jewish Laboratory Others:

SAMPLES TO BE SENT TO SSP VET ADVISOR/OTHER None

SHIPPING INSTRUCTIONS

Please notify SSP vet when sending reports and/or tissue samples

OTHER REQUESTS

SSP Pathologist Scott Terrell, DVM, DACVP

Same address as above 

Location

581705 White Oak Road
Yulee, FL 32097 USA

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