Indiana ADDL Submission Form Instructions

Indiana ADDL Submission forms can be broken down into four sections

1. Demographic and Billing Information
2. Signalment and History
3. Sample Information
4. Requested Tests

Demographics and Billing

Example of a completed demographics and billing section of a submission form, illustrating the required information and guidance for completing this part.

Tips

• Please enter as much information as possible.
• Make sure to choose the method by which to receive results.
• To send results to an additional email or fax number, enter that data in the available fields.
• If the Premise ID is known, it can be entered in the available field. To request pre-printed Premise ID Barcode labels, please send an email to addl@purdue.edu or call 765-494-7440.
• Use the Responsible Billing Party checkboxes to let us know who ADDL is to bill for the submission.
• IMPORTANT: Do not affix any barcode stickers above this section of the submission form.

Signalment and History

Example of a completed signalment and history section, demonstrating how to fill out this part of the submission form.

Tips

• Please enter as much information as possible, especially the history of the patient(s). A detailed history is an immensely helpful aid in diagnosis.
• If multiple breeds/sexes are on one submission, that information can be entered in the Sample Information section of the submission form.

Sample Information

Example of a completed sample information section of a submission form, illustrating the required information and guidance for completing this part.

 

Tips

• Please enter as much information as possible, but only one sample type per line.
• The ID/Tube number next to each Animal ID is used in the Requested Tests section of the submission form to specify which test should be performed on which sample.

Requested Tests

Example of a completed requested tests section, demonstrating how to fill out this part of the submission form.

Tips

• Please enter as much information as possible when available.
• Use the ID/Tube number from the Sample Information section of the submission form to specify which test should be performed on which sample.
• To request one test on one sample, enter the single ID/Tube number in the Samples field next to the requested test.
• To request one test on multiple samples, enter the specific ID/Tube numbers in the Samples field next to the requested test (i.e. 1,2,4 or 1-4). Pools may contain a maximum of five samples unless otherwise specified.
• IMPORTANT: The Requested Tests section of the submission form depends on the type of form used. Please follow any provided instructions. Click the link https://vet.purdue.edu/addl/submissions-forms.php  to be redirected to the submissions form page.