Document 6534976

The Paratuberculosis Laboratory
P.O. Box 71
201 Golden Drive
Fayette, MO 65248, USA
Phone: (660) 248-2823, (800) 248-9330
Fax: (660) 248-1334
Allied Case #:
Date Received:
Date Reported:
Invoice #:
Page#: 1 of
Email: info@alliedmonitor.com Website: www.alliedmonitor.com
Johne's Disease Test Sample Submission Form
Veterinarian:
Clinic Name:
Address:
City, State, Zip:
Phone/Fax:
Herd Owner:
Name:
Address:
City, State, Zip:
Phone/Fax:
Owner's signature:
Specimen collection date:
Date:
Specimen shipping date:
*Test results to be sent to veterinarian noted above
Species to be Tested
# of specimens submitted
Test to be Conducted
Fecal Culturing (choose a culturing method)
Bovine (cattle)
Ovine (sheep)
Individual
Caprine (goat)
Pooled
Other:
PCR
Milk ELISA
Serum ELISA*
AGID on serum samples
NO AGID test for any serum samples
* A supportive AGID test will be performed for all positive Serum ELISA results at an additional cost, unless no AGID is indicated above.
Container
ID
Specimen Information
Animal Information
Age
Animal ID Health Condition
1
2
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10
Testing Laboratory Results
Sample
ID
ELISA
AGID
1
2
3
4
5
6
7
8
9
10
Fecal
Test results should be used for herd health management; not as qualification for purchase, sale or vaccination. The ELISA and AGID test are presumptive and unofficial since these tests
quantitate the circulating antibodies to Mycobacterium avium ssp. paratuberculosis (MAP): not the disease per se. Late pregnancy and anergy due to advanced paratuberculosis may cause
depressed serological titers, for these reasons, please not e each animal's health condition when submitting samples. Fecal culturing remains the Gold Standard in Johne's testing. Since the
organisms are shed intermittently, a negative fecal result does not rule out the presence of the disease. Routine testing is hightly recommended.
**For additional samples continue to next page**
The Paratuberculosis Laboratory
P.O. Box 71
201 Golden Drive
Fayette, MO 65248, USA
Phone: (660) 248-2823, (800) 248-9330
Fax: (660) 248-1334
Allied Case#:
Page#: 2 of
Email: info@alliedmonitor.com Website: www.alliedmonitor.com
Container
ID
Specimen Information
Animal Information
Age
Animal ID Health Condition
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Testing Laboratory Results
Sample
ID
ELISA
AGID
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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34
35
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40
41
42
43
44
45
46
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Fecal
Test results should be used for herd health management; not as qualification for purchase, sale or vaccination. The ELISA and AGID test are presumptive and unofficial since these tests
quantitate the circulating antibodies to Mycobacterium avium ssp. paratuberculosis (MAP): not the disease per se. Late pregnancy and anergy due to advanced paratuberculosis may cause
depressed serological titers, for these reasons, please note each animal's health condition when submitting samples. Fecal culturing remains the Gold Standard in Johne's testing. Since the
organisms are shed intermittently, a negative fecal result does not rule out the presence of the disease. Routine testing is hightly recommended.
The Paratuberculosis Laboratory
P.O. Box 71
201 Golden Drive
Fayette, MO 65248, USA
Phone: (660) 248-2823, (800) 248-9330
Fax: (660) 248-1334
Allied Case#:
Page#: 3 of
Email: info@alliedmonitor.com Website: www.alliedmonitor.com
Container
ID
Specimen Information
Animal Information
Age
Animal ID Health Condition
48
49
50
51
52
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54
55
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57
58
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60
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Testing Laboratory Results
Sample
ID
ELISA
AGID
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
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77
78
79
80
81
82
83
84
Fecal
Test results should be used for herd health management; not as qualification for purchase, sale or vaccination. The ELISA and AGID test are presumptive and unofficial since these tests
quantitate the circulating antibodies to Mycobacterium avium ssp. paratuberculosis (MAP): not the disease per se. Late pregnancy and anergy due to advanced paratuberculosis may cause
depressed serological titers, for these reasons, please note each animal's health condition when submitting samples. Fecal culturing remains the Gold Standard in Johne's testing. Since the
organisms are shed intermittently, a negative fecal result does not rule out the presence of the disease. Routine testing is hightly recommended.