VMDB - Search Request

Search Request

Due to the extremely high number of search requests recently received, please expect a minimum turn-around time of 8 weeks. Non-memnber searches cannot be accepted at this time do to the overwhelming requests for data being received by VDMB.

for additional information on how to request a search click here

Requester :		For Clinician:
Date Needed:		Phone:
Fax:		Email:

Institution (Company) / Address:

or

Purpose of Request: (ex. teaching or manuscript)

The Search Relates to a Funded Project:

Note: Fees may apply for your search. Please see Fee Information.

SEARCH CRITERIA:

Species:

Bovine	Equine	Porcine	Ovine	Caprine	Avian	Canine	Feline
Other Species

Breed: Age: Sex:
Time Span of Search:

Search Parameters:

Include Rechecks: Include Suspects (SNOMED Only):

Institution Data to be Included: All Participating Schools My Institution Only

Other, List Institutions:

OUTPUT:

What kind of information would you like to be listed in the report?
Please check the boxes below.

Species	Breed	Institution
Year of Discharge	Month/Year of Discharge	Discharge Status
Sex	Weight	Age


Summary (Subtotals only)
	Species	Breed
	Diagnosis	Procedure
	Other
Detail (Prints individual cases)
	Sort order:
	By Institution
	By Medical Record Number
	Terminal Digit Order	Straight Numeric
	By Date
	By Breed
	By Species
	Other:

Output Comments:

AGREEMENT:

(1) VMDB will be acknowledged within any publication. (VMDB Citation Requirements)
(2) Author will provide a copy of the publication to VMDB.

Agree Don't Agree

TO SUBMIT THE FORM: TO CLEAR THE FORM:

Publication Award Details

If you need assistance completing the form email VMDB or telephone: 217-693-4800