Place Order - Vidium Animal Health

Which test would you like to order?

* Indicates a required field

Choice of product*

SearchLight DNA™
SpotLight™ ePARR

Who is placing the order for SearchLight DNA™?

Who is placing the order for SearchLight DNA™?*

Pet Owner
Veterinarian

I've met with my veterinarian and understand my veterinarian will need to submit a tissue sample to Vidium.**

I've met with my veterinarian and understand my veterinarian will need to submit a tissue sample to Vidium.*

Please note: It is Vidium's policy to send the final report to the veterinarian to share with you. A report will not be sent directly to the pet owner.

Name

First name * Last name *

Email address*

Veterinary information

Please provide some information about the veterinarian you are working with to order this test.

Veterinarian's name*

Veterinarian's first name * Veterinarian's last name *

Veterinarian's phone number

Veterinarian's email address*

(This is where the reports will be sent)

Clinic information

Clinic name*

Clinic phone number*

Clinic email address*

Pet owner information

Pet Owner Name*

Pet owner first name * Pet owner last name *

Pet information

Pet's name*

Pet's gender*

Is pet neutered/spayed?*

Pet's birth month*

Pet's birth year*

Pet's breed*

Pet's presumptive diagnosis*

Please keep text to 255 characters or less

Sample information
Any supporting documentation, including histopathology reports, can be uploaded below or emailed to vidiuminfo@tgen.org.

Sample information
Any supporting documentation, including histopathology reports, can be uploaded below, emailed to vidiuminfo@tgen.org or uploaded into your Veterinarian Portal.

Sample information

Please send prior hystopathology, cytology and/or flow reports. You can upload them below, email to vidiuminfo@tgen.org or upload into your Veterinarian Portal.

File

Drop files here or

Max. file size: 50 MB, Max. files: 5.

Please provide a concise clinical history including relevant cancer therapy, and indicate any clinical questions that need to be addressed.*

Differential diagnosis/(es)*

Is the submitted sample a primary or metastatic lesion?*

Primary
Metastatic
Unknown

Prior diagnostics*

Choose all that apply

Tissue source/anatomic location (if appropriate)*

Collection date

Amount of tissue (number of slides/scrolls/tubes/blocks) expected to be sent

What is being sent?*

FNA slides (preferred for FNA samples)
FNA fluid
Histopathology tissue
Other tissue types (less preferred)

What is being sent?*

FPPE Scrolls
Unstained FPPE Slides
Paraffin Block
Fine Needle Aspirate Slides
Fine Needle Aspirate Vials
Fresh Frozen Tissue
Fixed Tissue
Other

- Fresh frozen tissue (6-7 30 mg pieces)

- Tissue in paraffin block

- 10 FFPE scrolls (10 micron sections), and 1 H&E slide from the same block

Other *

10 unstained, non-coverslipped coated slides from serial sections of the most representative FFPE block, and 1 H&E slide from the same block

Aspirate into sterile tube: >0.5 mL in sterile vial/tube with no additives.

Aspirate onto slides: 5 or more stained or unstained, non-coverslipped slides with 1 Diff-Quik slide. Aspirate material should be nickel sized or larger.

>0.5mL in sterile vial/tube with no additives.

5 or more stained or unstained slides with 1 Diff-Quick slide. Aspirate material should be nickel sized or larger. Poorly cellular FNA samples can have insufficient DNA material for testing, so we recommend ensuring that samples are of adequate cellularity

10 scrolls (10 micron sections), and 1 H&E slide from the same block.

10 slides x (10 micron sections), and 1 H&E slide from the same block

( 6-7 30mg pieces)

(shipped on cold packs)

Where is the sample currently?*

Not yet removed from the pet
At veterinarian preparing to ship
At pathology lab

Please ship to Vidium Animal Health at 445 N 5th Street, Phoenix, AZ 85004. It is preferrable to have samples sent directly to Vidium in order to expedite services.

If you will be sending a sample from a pathology lab and prefer Vidium acquire that same sample, please provide pathology information and we will do our best to coordinate shipping of your sample from the pathology lab to us for an additional $100 fee that is a pass-through cost of the pathology and shipping charges Vidium will incur.

eParr Ship*

Tracking Number (if known)

Additional fee*

I understand Vidium will charge an additional fee for this that is a pass-through cost of the pathology and shipping charges Vidium will incur. *

Please ship sample to Vidium Animal Health at 445 N 5th Street, Phoenix, AZ 85004.

Due to Arizona's warm weather, we request samples be shipped overnight.

Please ship sample to Vidium Animal Health at 445 N 5th Street, Phoenix, AZ 85004.

Due to Arizona's warm weather, we request samples be shipped overnight.

For your convenience, Vidium will coordinate the transfer of the sample to our lab.

Pathology lab

Pathology accession number (if available)

Pathologist contact number

Pathologist email

Veterinarian who originally submitted sample to pathology

If a different veterinarian originally sent the sample to pathology, please provide their name here. If not applicable, please leave blank.

Veterinarian's name

Veterinarian's phone number

Veterinarian's email

Payment

For your convenience, we offer you the option to pay now through our secure payment portal, or request an invoice be sent to your clinic's billing department. We request payment be received before the diagnostic report is delivered. Please indicate your choice: *

Thank you for your order! We are currently offering the first SearchLight DNA™ test ordered by any veterinarian free of charge. Please proceed to submit your order and we will take care of the rest!

SearchLight DNA™ - Veterinarian

Price:

SearchLight DNA™ - Pet Owner*

Price:

Confirm your SpotLight™ ePARR option

SpotLight™ ePARR - $125
SpotLight™ ePARR plus sample acquisition - $225

SpotLight™ ePARR = $125

Sample Acquisition = $100

Payment*

SpotLight™ ePARR Payment Options*

Email address where you'd like us to send the invoice *

Credit card information not required

Terms & Conditions

Samples submitted are subject to Vidium Animal Health's Terms and Conditions of Business.

I agree*

I agree to Vidium Animal Health's Terms and Conditions.