Zoo / Exotic Pathology Services

Please fill out this form, print it , and send it in with your sample(s).

Doctor
Account No.
Client Name
Animal Name
Breed or Species
I.D.No.
Date
Sex
Age
Dr. Drury R. Reavill
Zoo / Exotic Pathology Services
6020 Rutland Drive #14
Carmichael,CA 95608
(916) 725-5100
mail@zooexotic.com


Reporting Results:
Email Phone Fax Verbal Report
Need More:
Speciman Vials Slide Holders
Zoo/Hospital
Street or PO Box
City
State
Zip Code

For Laboratory Use Only









Phone:                         
Fax:                             
E-Mail:                       
Tissues Submitted
Clinical History / PM findings