Veterinary Cardiac Genetics Lab

Rottweiler Familial Subaortic Stenosis Study 

Please complete the following form, print and include with the blood sample

Dog's Name


Gender Female Spayed
Male Neutered
Male Intact
Female Intact
Date of birth


Owner Name


Complete Address


Phone Number


E-mail


Comments (optional)

Please include a xerox copy of a pedigree and any echocardiogram information.

All individual dog test results and information will remain strictly confidential for the purpose of this study only.

THANK YOU!!!