RENAL BIOPSY SUBMISSION FORM

Use a commercial courier service to send the kit back to the laboratory

Cost of sending the kit back to the laboratory is the responsibility of the clinician/sender

Please be sure the caps are tight on the bottles before placing in the plastic bags.

Please contact the service through the contact form below to confirm expected arrival date of the specimen, name of courier and tracking number

Please note that the laboratory is closed Sundays and it is therefore best to send the kit back on Monday-Wednesday.

Submitting center
Name of clinic*
Street address of clinic*
Postal code and city*
Country*
VAT number of clinic*
Attending clinician's name*
Preferred Email address for receiving reports*
Phone*
Case identification
Animal Name
Owner name
Species
Breed
Gender
Age or date of birth
Case or Medical Record Number at Submitting Center
Tissue Specimens
Method
Using: Wedge or Needle (specific brand and size)
Processed for:
- TEM (3% glut)
- LM (formalin)
- IF (Michel’s)
Clinical Synopsis
Bloodworks
Creatinine - umol/L or mg/dL
BUN - mmol/L or mg/dL
SDMA - ug/dL
Phosphate - mmol/L or mg/dL
Albumin - g/L or mg/dL
Total proteins - g/L or mg/dL
Please, list any other relevant abnormality
Urinalysis
Urine specific gravity
UPC
Current treatment, please indicate dose/kg for each drug
Blood pressure - mm Hg
Has the patient any concurrent disease, in addition to the renal disorder (please, list which ones)?
Prices
Charges for Available Services (excl VAT)
- Comprehensive canine kidney biopsy examination and interpretation : 480€
- Light microscopy: comprehensive examination (in addition to HE and PAS includes also PAMS, Masson Trichrome, Congo Red for amyloid if applicable ) : 110€
- Transmission electron microscopy : 195€
- Immunoflourescence staining (IgG, IgM, IgA, C3) if no glomeruli are present a reduced fee of 30€ will be charged (for dogs only): 195€
- Kidney biopsy kit : 60€
Discount code
With submission of the renal biopsy I accept that submitted informations, materials as well as results from the analysis may be used for additional testing, statistical analysis and scientific reporting.

RENAL BIOPSY SUBMISSION FORM

RENAL BIOPSY SUBMISSION FORM

Submitting center

Case identification

Tissue Specimens

Bloodworks

Urinalysis

Prices