Copper Storage Disease Survey
Name
First Name
Last Name
Your zip code:
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Dog's Name
Date of birth
Breed
Sex
Color
Regular diet -- MUST include brand and formula if a commercial product.
Usual treats
Date of diagnosis
What were the results of the initial liver biopsy? (If a biopsy was not done please note that here.) Please note, if you do not have a definitive diagnosis of copper storage disease confirmed by biopsy, please do NOT submit any data.
Was more than one biopsy performed?
Did follow up testing show improvement in liver function?
Were there any health problems prior to or at the same time as the copper storage disease diagnosis?
Submit
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