Cardiac Exam Registration

Auscultation Only (Basic Cardiac Database): These forms can be filled out before the clinic.  Please go to ( ) to print and fill out the basic cardiac database form. 

Echocardiograms + Auscultations (Advanced Cardiac Database): Dr. Kellihan’s team will provide the required paperwork and the owner/breeder will fill out the paperwork the day of the clinic.

The following information is needed for all forms:

  • Registered name
  • Registration number
  • Date of Birth
  • Microchip number (if applicable)
  • Sire registration number
  • Dam registration number

Spots are limited! Register and pay for the Cardiac Clinic below.

Canine Cardiac Clinic Registration Form
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