DFWLRC Health Clinic Form

Dallas Fort Worth Labrador Retriever Club

Health Clinic August 2 2025
August 2nd 2025 DFWLRC Health Clinic Registration

Please complete the below form and you will receive an automated email confirmation of registration. We will send a separate email from dfwlrc.health@gmail.com with a link to pay for your order (if you have multiple dogs, please fill out a form for each dog, but we will send one invoice). If you are not familiar with OFA age requirements for testing or your breed's recommended testing, please go to www.ofa.org. Dogs MUST be able to be restrained without sedative. For echoes, dogs MUST be able to lie on the table comfortably-- please email if you are unsure or need clarification. Once payment is received, no refunds will be made unless the event has to be cancelled for some reason. If you cannot make it and need to transfer to another dog/owner, we can work with you. Please email dfwlrc.health@gmail.com AS OF SUNDAY JULY 20th we are FULL for Radiographs and Heart appointments-- if you would like to be added to the waitlist please complete the form!
Owner's Name*

First NameLast Name
E-mail*
Phone Number (we may need to text you):*

Area CodePhone Number
AKC Registered Name*
If you have multiple dogs please complete one form per dog for our records!
Call name*
If you have multiple dogs please complete one form per dog for our records!
AKC Registration Number*
Microchip Number
This will be verified but we will prepopulate forms to make this easier!
Date of Birth*
Sex*
Breed*
Approximate weight in pounds*
Please select the services you require for THIS dog.

OFA Hips AND Elbows with Dr. Torres $340 WAITLIST-- WE WILL CONTACT YOU IF THERE IS AN OPENINGOFA Hips ONLY with Dr. Torres $215 WE WILL CONTACT YOU IF THERE IS AN OPENINGOFA Elbows ONLY with Dr Torres $275 WE WILL CONTACT YOU IF THERE IS AN OPENINGOFA Shoulders ONLY with Dr Torres $275 WE WILL CONTACT YOU IF THERE IS AN OPENINGOFA Shoulders with other imaging Dr Torres $150 WE WILL CONTACT YOU IF THERE IS AN OPENINGOFA Dentition with Dr Torres $45OFA Patellas with Dr Torres $45OFA Thyroid (blood draw) with Dr Torres $175ACVO/CAER Eyes with Dr. Cichocki $45Advanced Cardiac (Echo) with Dr. Gordon $260 WE WILL CONTACT YOU IF THERE IS AN OPENINGBasic Cardiac (Auscultation) with Dr. Gordon $60 WE WILL CONTACT YOU IF THERE IS AN OPENINGCGC/CGCA with Patti Benton $25Trick Dog with Patti Benton $20CGC and Trick dog with Patti Benton $35Other
In order to streamline traffic, each owner will be assigned a window that you'll be scheduled in. If you wish to be assigned the same window as a travel partner/ friend, please enter his/her name in the Other section so we can schedule you together.

9am-11am11am-1pm1pm-3 pm3pm- 5pmAnyOther
Anything else you want us to know??? :)
Privacy Policy
I/we hereby agree that the DFWLRC may communicate with me electronically. The DFWLRC will protect my personal information and only use it for communication for this club event. The DFWLRC will never sell your information and hold your privacy as the utmost importance.
We are not collecting online payments at the time of registration, so please simply select the testing you need and we will send you an invoice and more information regarding the forms via email.

By pressing Submit, your registration will be received and scheduling will be done around July 25th.

If you have any supplemental information you'd like to add, you may email the health clinic coordinator at DFWLRC.Health@gmail.com
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