Brucella ovis - Gribbles Veterinary

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SEROLOGY ACCESSION NUMBER ... FLOCK ID NUMBER (if any) ... NZ NATIONWIDE FREE CALL 0800 GRIBBLES (0800 474 225) www.grib
GRIBBLES VETERINARY NEW ZEALAND CONTACT DETAILS AUCKLAND 37-41 Carbine Rd Mt Wellington PO Box 12049 Penrose, Auckland T: (09) 574 4701 F: (09) 574 5304

HAMILTON 57 Sunshine Ave PO Box 195 Hamilton T: (07) 850 0777 F: (07) 850 0770

PALMERSTON NORTH 840 Tremaine Ave PO Box 536 Palmerston North T: (06) 356 7100 F: (06) 357 1904

CHRISTCHURCH 7 Halkett St PO Box 3866 Christchurch T: (03) 379 9484 F: (03) 379 9485

DUNEDIN Invemay Research Centre Puddle Alley Mosgiel, Dunedin T: (03) 489 4600 F: (03) 489 8576

NZ NATIONWIDE FREE CALL 0800 GRIBBLES (0800 474 225) www.gribblesvets.co.nz

BRUCELLA OVIS SUBMISSION FORM DATE SENT _____________________________________________

SEROLOGY ACCESSION NUMBER ___________________________

VETERINARIAN __________________________________________

FARMER ___________________________________________________

PRACTICE ______________________________________________

ADDRESS __________________________________________________

ADDRESS ______________________________________________

___________________________________________________________

________________________________________________________

FLOCK ID NUMBER (if any) ___________________________________

PHONE ________________________________________________

BREEDS __________________________________________________

FAX ____________________________________________________

NO. OF RAMS IN FLOCK (>15 MONTHS) NO. OF SERA SUBMITTED NO. OF RAMS WITH LESIONS WHEN PALPATED

PURPOSE OF TEST RAM BREEDER OR MIXED FLOCK

Flock check test (eg. to orientate)

COMMERCIAL FLOCK

Eradication test no 1 2 3 4 5 6 Accreditation test Annual retest of accredited flock Sale test Test of introduced rams Diagnostic test (eg. rams with epididymitis) Other (specify) _________________________________________

DATE RECEIVED ________________________________________

NO. TESTED

SAMPLE RECEIVED ______________________________________

NO. POSITIVE

CASE REGO ____________________________________________

NO. SUSPICIOUS

TEST REGO _____________________________________________ SIGNED OUT ___________________________________________