Order SearchLight DNA | Vidium Animal Health

Who is placing the order for SearchLight DNA™?
($1000)

Pet Owner
Referring Veterinarian
Veterinary Oncologist

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.

First name*

Last name*

Email address*

Veterinary Information

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

Clinic name*

Veterinarian's name*

Clinic phone number*

Clinic email address* (this is where the reports will be sent)

Pet owner information

Pet owner first name*

Pet owner last name*

Pet information

Pet's name/identifier*

Pet's gender

Is pet neutered/spayed?

Pet's age

Pet's breed*

Pet's presumptive diagnosis

Sample information

Any supporting documentation, including histopathology reports, can be emailed to vidiuminfo@tgen.org.

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?

FPPE Scrolls
Unstained FPPE Slides
Paraffin Block

Fine Needle Aspirate
Fresh Frozen Tissue
Other

Where is the sample currently?*

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

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

Please ship sample to Vidium Animal Health at 445 N 5th Street, Phoenix, AZ 85004. If you will also be sending a sample to a pathology lab and prefer SearchLight DNA™ to be run on that same sample, please provide pathology information and Vidium will coordinate shipping of sample from pathology lab to us.

Pathology information

Pathology lab

Pathology Accession Number (if available)

Pathologist contact number

Pathologist email

Veterinarian who originally submitted sample to pathology

Veterinarian's name

Veterinarian's phone number

Veterinarian's email

Payment

Once your sample's DNA has been extracted and checked for quality, you will be sent an invoice and request for payment through our secure payment portal. Payment must be received before a report can be delivered.

Where would you like us to send the invoice?*

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

Payment

Where would you like us to send the invoice?*

Email address to send invoice to*

Terms & Conditions

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

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

Order SearchLight DNA™

$1000