Official OFA Clinic Registration Form OFA Patella and Hip Clinic OFA Patella and Hip Clinic Examination Fees: OFA Hip Film and OFA Fee: $115 Light Sedation, if needed: $75 OFA Patella Exam and OFA Fee: $15.00 What: OFA Patella and Hip Clinic WHWTCA Members only: OFA Patella Exam and OFA Fee: Free for dogs Open to all West Highland White Terriers of WHWTCA members that have both hips and patellas certified Sponsor: Westie Foundation of America, Inc. Please consider participating in the Legg Calve Perthes study though the Where: Squaw Peak Animal Hospital, 3141 E. Lincoln Dr., Westie Foundation of America. The WFA will pay the $5 fee for blood Phoenix, Arizona, telephone 602-210-8794 collection needed for the study. This is only for dogs having their hips x- When: Saturday, March 6, 2010 rayed. Appointment reservations close at 6:00 pm on February 17, 2010 at the Registrar’s The Westie Foundation of America, Inc. is proud to announce an OFA Clinic address. for Hip Dysplasia and Patellar Luxation in conjunction with the WHWTCA’s Mail Form with Fee to: Nancy Stolsmark, Registrar, 22421 N. 89th Ave., Peoria, 2010 Roving National Specialty. The hip and patella exams are two of the AZ 85383 three health clearances needed to have your Westie assigned a CHIC number from the Canine Health Information Center. The three clearances that the Make Checks or Money Orders Payable to: Westie Foundation of America, Inc. WHWTCA has recommended are patellas for luxating patellas; eyes for All fees must be payable in U.S. Funds. cataracts or other ocular diseases; and hips against hip dysplasia and Legg I Enclose $ _______________ for exam fees. Calves Perthes. (Please Print) Breed: Limited to Date of Birth Sex The WHWTCA Board of Directors and Health Committee are subsidizing West Highland White Terriers dog bitch the cost of the patella examination for members’ Westies that are also Name undergoing hip x-rays. The WHWTCA will subsidize the $15 fee. The of Westie WHWTCA is proud to be able to offer this service to club members. AKC Reg No: ID # ( Microchip or DNA): Actual Bitches immediately coming into or going out of season should not submit Owners hip x-rays since hormonal influences could alter OFA results. Permanent Owner’s identification is required for all dogs and microchipping or tattooing will be Address offered for an additional fee. City State ZIP For more information about the clinic, please contact Telephone Nancy Stolsmark, Registrar E-mail 22421 N. 89th Ave. Peoria, AZ 85383 Note: Examinations are by appointment. We should be able to Email: Livlafluv2000@aol.com accommodate some “walk-ins” but highly recommend early Telephone: 623-210-8794 registration to avoid disappointment.