Form Waddl 001 8 PDF Details

The Waddl 001 8 form, known as the Aquatic Health Accession Form, plays a crucial role in diagnosing and managing diseases within aquatic animal populations. Created by the Washington Animal Disease Diagnostic Laboratory at the College of Veterinary Medicine, Washington State University, this comprehensive document serves as a pivotal tool for veterinarians, researchers, and aquatic animal owners. It facilitates the submission of samples for a variety of tests, including but not limited to virology, bacteriology, parasitology, and toxicology. Detailed instructions stress the importance of using black ink and printing clearly to ensure accurate information recording. Its layout prompts for exhaustive details about the specimen, ranging from the species and water temperature to the health and environmental conditions surrounding the aquatic animal. The form also emphasizes the collaborative effort between the submitter and the diagnostic laboratory by requesting extensive background information, such as history of vaccinations, signs of illness, and previous diagnostic findings. The flexibility of the form is evident in its provision for WADDL to adjust tests or refer them to external laboratories, ensuring a tailored and efficient diagnostic approach. This document underscores the laboratory's commitment to fostering aquatic animal health through precise diagnostic practices.

QuestionAnswer
Form NameForm Waddl 001 8
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesAccession AquaticHealthWA DDL 001.8 waddl aquatic health accession form

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AQUATIC HEALTH ACCESSION FORM

Washington Animal Disease Diagnostic Laboratory

 

College of Veterinary Medicine, Washington State University

 

 

Mailing address:

Web Site: http://waddl.vetmed.wsu.edu

 

Phone: (509) 335-9696

 

PO Box 647034

Shipping address:

 

FAX: (509) 335 7424

Pullman, WA. 99164-7034

Bustad Hall, Rm.155-N

E-Mail: waddl@vetmed.wsu.edu

Please type or use black ink and print clearly.

Pullman, WA. 99164-7034

 

 

 

 

 

 

Veterinarian or

 

WADDL VET CLIENT #:

 

 

Case Coordinator:

 

WADDL CLINIC CLIENT #:

 

 

Clinic:

 

 

 

 

 

Street:

 

 

 

 

 

City:

 

State:

Zip:

 

 

Phone:

 

Fax:

 

 

 

Date Shipped:

E-mail:

 

 

 

Owner:

 

 

WADDL OWNER CLIENT #:

 

 

Street:

 

 

 

 

 

City:

 

State:

Zip:

 

 

Phone:

 

Fax/E-mail:

 

 

Please fill out completely as possible:

 

 

 

 

Specimen(s)

 

 

 

 

Sampling Date:

Submitted

 

 

 

 

 

Aquatic

Necropsy

Virology

Bacteriology

PCR

Antibiotic of interest:

 

 

 

 

Tests

Histopathology

Fungal culture

Parasitology

Antibiotic Sensitivity

Requested:

Toxicology

Mycobacteria culture

Whirling Disease

Other

 

 

 

Note: WADDL reserves the right to modify the tests requested for more efficient case work-up and / or send specimens to outside laboratories to perform tests

not done at WADDL.

Species

 

 

Animal ID (name/tag#) or Lot #

 

 

Water Temperature

 

Animal Weight

 

 

Age

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location of Lesion(s)

 

 

 

 

No. in group

No. Dead

 

 

No. Sick

 

 

No. on Premises

Duration of Problem

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Was animal euthanized? If so, what method?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Water:

 

Marine / Brackish

System:

 

 

Flow-through

 

 

 

Other

 

 

 

 

 

Health Testing

 

 

Diagnostic Testing

 

 

Freshwater

 

 

 

 

 

Recirculating

 

 

 

 

 

 

Pathogen(s) of interest:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net pen

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional History:

Vaccinations, signs, stress factors, treatments, post mortem findings, pertinent feed or feed additives, clinical lab

 

 

 

results, previous WADDL Case Numbers. (Attach additional sheets as necessary.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAMPLE COLLECTOR:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Collector's Name

 

 

 

 

 

 

Collector's Signature

 

 

 

 

Veterinarian's or

 

 

 

 

 

 

 

 

 

 

Condition(s)

 

 

 

 

 

 

 

 

 

Clinician's Signature:

 

 

 

 

 

 

 

 

 

 

Suspected:

 

 

 

 

 

 

 

 

 

Form WADDL 001.8, Version 06-08

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