CGAP

HEALTH STATUS UPDATE FORM

To update the health status of your dog, who has already been submitted to the study, please complete the form below.

 

If your dog is unaffected with the disease,

please submit a health update annually, even if the dog is still healthy. 

All submissions are confidential.

CGAP Home                                       FAQs

JANUARY 2008

Call for Blood Samples for Addison’s and Epilepsy Diseases

 

    Although we continue to collect DNA from buccal swab samples, newer research technologies require DNA extracted from blood samples.  Thus, we are seeking blood samples from affected and unaffected dogs.  Affected dogs with veterinary diagnosis can be submitted from dogs of any age.  For unaffected dogs, we especially need samples from dogs over the age of 7 years old that are free from the disease.

    There is no fee for participating in this study although the owner bears the cost of blood collection and shipping of the sample to the laboratory. Some veterinarians may collect and ship samples at no charge for research purposes – please check with your veterinarian. 

    In the event that your dog’s DNA from the blood sample is used directly in the development of a commercially available diagnostic test developed by this laboratory, the results of the test for that dog will be provided at no cost upon your written request following the availability of that commercial test.

    The Addison's work is a collaborative study between UC Davis, Åke Hedhammar in Sweden and Kerstin Lindblad-Toh of the Broad Institute.  We appreciate your continued interest in our study. 

Blood Submission Instructions and Questionnaire

 

Request a Buccal Swab Kit

THANK YOU!

DOG INFORMATION

Breed       

Dog's Registered Name:    Call Name:

AKC Registration #:           

Sex  

Date of Birth (i.e., mm/dd/yy)

Sire's Registered Name:  

Dam's Registered Name:

     

Disease Status:    If Other, please specify

Comments regarding the dog's overall health (include any autoimmune disorders):

 

If your dog has been diagnosed with Addison's disease, please fill out the following information:

How was Addison's disease diagnosed? (i.e., ACTH test) 

        Age of dog at diagnosis:     years       months

If the dog is spayed or neutered, was the diagnosis prior to or after the spay or neuter? 

Symptoms of Addison's disease:

Was the dog on any steroid treatment prior to diagnosis? 

    If Yes, explain:

If you know of relatives with Addison's disease, include the relationship to your dog and names of the relatives if known:

 

If your dog has been diagnosed with Epilepsy, please fill out the following information:

How was Epilepsy diagnosed?

Age of dog at diagnosis:    years    months

What is the seizure status of the dog:           

At what age was the first seizure: years    months

If the dog is spayed or neutered, was the diagnosis prior to or after the spay or neuter? 

Symptoms of Epilepsy (describe a typical seizure in detail):

Has your dog ever had any type of head trauma? 

    If Yes, explain:

 

If you know of relatives with Epilepsy, include the relationship to your dog and names of the relatives if known:

 

OWNER INFORMATION

 

First Name    Last Name  

 

Address  

 

City                State/Province (abbreviate)   

 

Zip/Postal Code           Country (if not USA)

 

Phone (area code + number)  

 

E-Mail

 

Check here if your contact information has changed:  

 

Comments:

Please Note:  This update is for research only - all submissions are confidential.

If you would like to send a copy of your dog's pedigree, please include your name and send it to the following address:

Oberbauer Lab

Canine Genetic Analysis Project (CGAP)

Department of Animal Science

University of California

One Shields Avenue

Davis, CA 95616-8521