Title: Lavelle Diagnostic Imaging - Hip Dysplasia and Elbow Dysplasia Evaluation Request Form

Purpose: Form to accompany Xrays for HD/ED Evaluation by Roger Lavelle.

Type Of Document: Patient Form

Usage Tips:
1. Start Time: Date radiograph taken (user selectable, defaults to today)
2. Description: Place dog's full pedigree name and reg number here (assumes Patient name is pet name)
3. Clinician: vet that took radiograph

Formatted for A4 paper.