5725 West Utopia Road Glendale, Arizona 85308 P 623.806.7540 | F 623.806.7562 vetpath@midwestern.edu

For forms and additional information:mwuanimalhealth.com/vetpath

Midwestern UniversityDiagnostic Pathology Center

Midwestern University[Diagnostic Pathology Center]

Veterinary Services Now Available

The Midwestern University Diagnostic Pathology Center offers both biopsy and necropsy support to veterinary clinicians. The Center is staffed with veterinary anatomic pathologists (ACVP board-certified) and necropsy and histology technicians (ASCP-licensed).

The Diagnostic Pathology Center plays an important role in Midwestern University College of Veterinary Medicine’s program, and is available to meet the diagnostic pathology needs of veterinarians working in private large and small animal practices, zoo and wildlife organizations, and other veterinary or animal-related fields.

The Process

To submit a biopsy sample or body for full postmortem examination, you will need to:• Call 623.806.7540 to arrange services.• Complete the fillable submission form that can be found at: www.mwuanimalhealth.com/vetpath.• Email the completed form to: vetpath@midwestern.edu.• Print the completed form and attach to sample.• Deliver sample with paperwork to: Midwestern University Diagnostic Pathology Center

5725 West Utopia Road, Glendale, Arizona 85308.

Histopathology Biopsy samples submitted will be processed and routinely stained, and a diagnostic interpretation will be sent in the form of a written report. The histopathology report will typically be provided within two to five business days from the time samples are received. Additional histochemical and/or immunohistochemical stains may be needed to provide an accurate diagnosis. Clinicians submitting samples will be contacted to approve any additional staining and associated costs.

NecropsyBodies being submitted for necropsy should be delivered to the necropsy receiving dock on the north side of the Diagnostic Pathology Center. Submissions are accepted Monday through Friday from 8:00 am to 4:30 pm. Bodies that cannot be promptly delivered during business hours should NOT be frozen. Keep them refrigerated (~3-5°C) and submit within 24 hours. Contact us at the above number if the postmortem interval is expected to be longer than 24 hours.Small animals will be sent for cremation through PALS, Inc., and the ashes will be returned to the submitting veterinary clinic.Please do not hesitate to contact us for more information or with any questions you might have.

DirectionsVIA INTERSTATE 17• Take Interstate 17 to Loop 101 West • Continue west on 101 to 59th Avenue • Turn left (south) on 59th Avenue • Turn left (east) onto Utopia (second light) • Turn right onto the clinical campus

Diagnostic Pathology Center is located South of the Companion Animal Clinic

VIA INTERSTATE 10• Take Interstate 10 to 101 North • Take 101 North to 59th Avenue • Turn right (south) on 59th Avenue • Turn left (east) onto Utopia (second light) • Turn right onto the clinical campus

Diagnostic Pathology Center is located South of the Companion Animal Clinic

N

BOVINEYARD

EQUINE PASTUREPARKING GARAGE C

ENTRANCE

DENTALINSTITUTE

MULTISPECIALTY

CLINIC

EYEINSTITUTE

ENTRANCE

ENTRANCE

PARKING GARAGE B

NORTH 59

TH AVENUE

NORTH 57

TH AVENUE

ENTRANCE

WEST UTOPIA ROADWEST UTOPIA ROAD

COMPANIONANIMAL CLINIC

DIAGNOSTICPATHOLOGY CENTER

EQUINE AND BOVINECENTER

MWU CAMPUSENTRANCE

MWU CLINICSENTRANCE

NECROPSYRECEIVING DOCK

Necropsy Submission Form Revised: 8/16/2016

Necropsy Submission Form

I confirm that the owner/agent has given consent for their animal to undergo a necropsy. In addition, I confirm that the

owner/agent has given consent for tissues from the above animal to be made available for research and educational

purposes.

Signature

_______________________________________

Printed Name

______________________________

Date

_________________

VETERINARIAN / AGENCY First Last Are you a new client?

☐Yes ☐No

Clinic / Agency Phone

Address Fax

City State Zip Email

OWNER First Last

Address Phone

City State Zip Email

ANIMAL Name Animal ID Microchip #

Date of Birth Sex: ☐M ☐CM / ☐F ☐SF

Weight

Species Breed Color/Markings

BODY DISPOSAL Reports are generally issued within 10 business days;however, if specialized testing is required this may take longer.

Submitting veterinarian/agency is responsible for cost ofservices provided and will be invoiced.

It is the responsibility of the submitting veterinarian todeliver results to the animal owners.

ONLY the Veterinarian/Agency will be sent the finalreport.

Owners will never be contacted in legal investigations.

☐ Group Cremation

Ashes NOT returned.

☐ Private Cremation

Ashes returned to referring veterinarian.

☐ Rendering

*No goats, sheep, or household pets.

Necropsy Submission Form Revised: 8/16/2016

CLINICAL HISTORY

*Copies of relevant medical records, labs, radiology, scene photos, and any other information are encouraged to be included with submissions.

Date/Time of Death

Euthanized? ☐No ☐Yes, route: *OR Last Time Known Alive

Travel Outside USA? ☐ No ☐ Yes Special Requests

Legal Investigators Body Chain of Custody Investigating Police Department Accepted By Date/Time

Case No. Signature

Officer/Detective

Email From Date/Time

Phone Signature