OFA Patella and Hip Clinic

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					                                                                                                      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
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):
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.

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