Submit Test Results to JRT Health Registry

Your Name	(for followup only)
Your Email	(for followup only)
Full Dog Name
Sex of Dog	Male Female
JRTCA Reg/Rec #
Dog Birthdate	Date of Death
Sire Full Name
Dam Full Name

Test Results

#	Test	Results	Test Number	Test Date
1	Select Test CERF/CAER BAER PLL DM SCA HU LOA NNA Other	Select Result
	Explanation of results
#	Test	Results	Test Number	Test Date
2	Select Test CERF/CAER BAER PLL DM SCA HU LOA NNA Other	Select Result
	Explanation of results
#	Test	Results	Test Number	Test Date
3	Select Test CERF/CAER BAER PLL DM SCA HU LOA NNA Other	Select Result
	Explanation of results
#	Test	Results	Test Number	Test Date
4	Select Test CERF/CAER BAER PLL DM SCA HU LOA NNA Other	Select Result
	Explanation of results
#	Test	Results	Test Number	Test Date
5	Select Test CERF/CAER BAER PLL DM SCA HU LOA NNA Other	Select Result
	Explanation of results
If 'Other', please enter test name and/or results in the explanation field

Attach Test Results (PDF, JPG or PNG)

• All attachments should be in the same folder on your PC.
• Please attach only PDF, JPG/JPEG or PNG files.
• Each attachment must not exceed 5 MB in size.
• All other file types will be rejected.
• You may submit up to 5 file attachments at one time.
• Use the CNTL key (PC) or Command key (Mac) to select more than one file to submit.
• Please review your attachments carefully!

Comments