Collie Health Foundation 2026 Health Clinic Sign-Up

CHF has prepared this form to streamline the Health Clinic at the 2026 Collie Club of America National Specialty. Signing up means that all forms for your dogs' samples will already be filled out before the national. Dogs signed up using this system will be given priority at the CHF Health Clinics.

This form will require information to complete. Please ensure that you have all the following documents on hand.

Owner information:

• Name
• Address
• Phone
• Email

Dog Information:

• Birth Date
• Sex and spay/neuter status
• Coat Color
• Registration #
• Microchip or Tattoo
• Registered Name (NO titles)
• Sire’s Registered Name (NO titles)
• Sire’s Registration Number
• Dam’s Registered Name (NO titles)
• Dam’s Registration Number

Eye Checks & Coloboma Study:

This study needs samples from dogs with choroidal hypoplasia, as well as from dogs with choroidal hypoplasia and colobomas or detachments.

• Current and any/all Previous Ophthalmology Eye Exams (note: for CEA mild dogs, an adult eye check is required)
• CEA Genetic test Result
• 5-6 Generation Pedigree
• Any other known eye conditions

CHIC DNA Banking - Martha E Hoffman Project:

• What illnesses or diseases your dog has experienced

Epilepsy Study, if affected:

This study is looking for both affected dogs and unaffected dogs over 8 years old with no epileptic relatives.

• 5-6 Generation pedigree
• Relatives with epilepsy

If affected:

• Age of Onset
• Name of Diagnosing Veterinarian
• Known test results
• Seizure description
• Total number of seizures
• Frequency of seizures
• Hospitalization
• Any other conditions or injuries

Please note that free CAER eye checks are only available to dogs participating in the Coloboma study. For all other dogs, the cost of the CAER eye check will be $55.

Your completed forms will be waiting for you at the National Specialty.

The information you are providing will be loaded into the official forms to be used at the clinic.

Type carefully. Double check your work by using the Back Option (at the bottom of each page) if needed.

Please email secretary@colliehealth.org for further details on required information.

Researchers will be collecting samples for Dr. Murgiano's Coloboma study, Dr. Clark's Epilepsy study, and the Martha E. Hoffman CHIC DNA banking project. 

• Coloboma study: dogs with choroidal hypoplasia, and dogs with choroidal hypoplasia and colobomas or detachments. 
  Epilepsy study: affected dogs, and unaffected dogs over 8 years old with no epileptic relatives.
  More information on the CHIC DNA banking project can be found at www.colliehealth.org/dna-banking

CHF-Funded research at the University of Pennsylvania is aiming to use genetic mapping to identify the region of the canine genome associated with the development of colobomas in dogs with Collie Eye Anomaly. Samples from dogs with colobomas as well as with mild CEA are currently needed for the research to move forward!

Samples from two categories of Collies are needed:

• “A”: Dogs genetically affected by CEA (m/m) who have only choroidal hypoplasia (mild CEA) in their eye exam.
• “B”: Dogs genetically affected by CEA (m/m) who have choroidal hypoplasia AND coloboma (moderate to severe CEA) in their eye exam.

Purpose of the project

The purpose of the study is to identify the gene(s) responsible for idiopathic epilepsy in collies and Shetland sheepdogs. Epilepsy is a chronic neurological disorder that affects both collies and Shetland sheepdogs.

Eligibility for participation

All Collies that have been diagnosed with epilepsy are eligible for participation. Additionally, Collies that are at least 8 years of age and have not experienced any seizures, and do not have any relatives known to have epilepsy are eligible to participate as controls.

Has your dog ever been diagnosed with any of the following health issues?