Date: 12/23/2025
PRELIMINARY REPORT
( subject to change )
Referring
Veterinarian: N/A		 Clinic Name: N/A
Email: N/A


Postal Address:

,
Client: N/A    
Patient Name N/A Patient ID N/A
Species: N/A Breed: N/A
Age: N/A Sex: N/A
Modality/Images : Date Of Study:
Wt.: N/A Temp.: N/A Pulse: N/A Resp.: N/A
 
Specialist: Read by N/A
Overread by N/A, DACVR 		 
Phone: N/A  
Email: N/A  
Date of Report:  
 
 
Thank you for allowing us to be part of your diagnostic team; if you have any questions please contact me directly. Please note AIS will only discuss this report with the referring doctor.
 
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