The cancer was greatly spread through out the stomach and there was a perforation the size of a nickel in the stomach wall. He is still amazed at how Alex was able to walk in to the office on Friday.
Alex was a strong Belgian with a strong heart.
Enrollment Instructions
Tufts Harrington Oncology Program
Blood: 6ml of blood in an EDTA tube. • Completed participant information form below
• Please FedEx the samples: Please call us for a FedEx account numberUse Standard overnightWrite "Please refrigerate upon arrival" on the box.Please Address to: Kristin Simon, BS
Tufts Cummings School of Veterinary Medicine
200 Westboro Road
FHSA Room 215
North Grafton, MA
Phone: 508-887-4422
kristin.marshall@tufts.edu If samples are taken on a Friday: please refrigerate blood. Ship out on Monday.
-----------------------------Return Below Portion with Shipment------------
Owner Information Name:
Mailing Address:
Phone: Email: Dog Information Call Name: Date of Birth:
Registered Name: Breed:
AKC (or Other) Registration #: Please attach pedigree if available Sex: Male Male Neutered Female Female Spayed Affected participants: (Please include biopsy report if available)
Date of Diagnosis ______________ Biopsy Diagnosis ______________
Biopsy Location ________________ Other Disease ________________
Please Acknowledge and Sign: I give Dr. Elizabeth McNiel and her direct collaborators permission to use this sample for research purposes. I understand that any pedigree information or data specific to my dog will be kept confidential and any publications resulting from these studies will not include any information that will make it possible to identify a subject. In addition, I understand that I will not receive individual results regarding my dog as a result of these studies.
Signature: Date:
