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newlogo                    CDM2 (canine degenerative myelopathy type 2) information page

                                                      * ALL INFORMATION IS PRIVATE AND CONFIDENTIAL*

YOUR INFORMATION CAN BE UPDATED AT ANY TIME

Database Members CLICK HERE to update and view your existing records.

ANIMALS INFORMATION

Breed:

Registered  name/Call Name:


Registry:





Date of Birth:

(mm/dd/yyyy) 
Sex:

Country:

DEGENERATIVE MYELOPATHY INFORMATION

CDM2 result:


 


Age of Diagnosis of CDM2
:
 



Clinical Signs:


 

If answered "yes", please fill in the information below.
If answered " Not at this time", please update your record if symptoms occur.

Click Here at any time to update your records.




Symptoms:



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Mac Users: Hold down the Command key while selecting.

SOD1 test result if known:


 

Diagnostic information:


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Relatives with DM:




DEATH REPORT
Cause of Death:





Age at Death:




OTHER INFORMATION


Other medical information:





Other comments:




Is there DNA Available?:


Is DNA Banked or stored anywhere?:

   


Please list storage facility/contact information

Are you willing to submit DNA Sample?





Owner Contact Information
Consent for DOGenes to contact you for further information:




Owner Address (for mailing DNA collection kits):




 Please make sure that address is complete: Street, (State/Prov), (Zip/Postal code), Country

Owner email:



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