Submit Your Dog’s X-Ray Files to a GSDCA Radiologist

Type of X-Rays to be read(Required)

Select the X-Rays you will be submitting for Scoring

Hip and Elbow X-Rays

Hip Only X-Rays

Elbow Only X-Rays

GSDCA Form Number(Required)

Enter the GSDCA form number (or red Form number)

State Contract Number(Required)

Enter the full State contract letters and numbers on your contract

Dogs Australia Registered Name(Required)

Dogs Australia Registered No(Required)

Microchip No(Required)

Sex(Required)

Male

Female

Dog's Date of Birth(Required)

Name of Registered Owner(Required)

This must match the name on the pedigree

Address(Required)

Street Address Suburb / Town State Post code

Phone(Required)

Owner's Email(Required)

This is the address where results will be emailed.

Select Preferred Radiologist(Required)

Dr Ana Hayes

Dr Jenny Richardson

VETERINARY INFORMATION

Date of X-ray(Required)

New Microchip Number

Enter number if new microchip implanted for xray

Referring Veterinary Surgeon Submitting Radiograph of Anaesthetised Dog(Required)

Name of Referring Veterinary Practice(Required)

Phone(Required)

Vet Email

Address(Required)

Street Address Suburb / Town State Post code

Are you submitting as ?(Required)

Owner of Animal

Veterinary Clinic conducting X-Ray

X-ray File UPLOAD

1.. X-Rays for Hips and Elbows

Upload X-ray files(Required)

Upload x-ray files for Hips and Elbows. Dicom format only. When attaching DICOM files, please ensure they have the appropriate file extension, ie “.dcm”. If the files lack an extension, you may manually type it

Drop files here or

Accepted file types: dcm, Max. file size: 128 MB, Max. files: 8.

Contract and Pedigree File UPLOAD

1. GSDCA Hip & Elbow Contract Signed by Vet

Upload Contract file(Required)

The GSDCA HDED Contract must be signed by the Veterinarian taking x-rays.

Drop files here or

Accepted file types: pdf, Max. file size: 128 MB, Max. files: 1.

Upload Pedigree file(Required)

Pedigree file: Please include your dogs pedigree name in the file name

Drop files here or

Accepted file types: pdf, Max. file size: 128 MB, Max. files: 1.

HIP X-RAY RESULTS

HD Register Number(Required)

Radiologist to add your alloted x-ray number for records

Norberg Angle (L)(Required)

Subluxation (R)(Required)

Subluxation (L)(Required)

Cranial Acetabular Edge (R)(Required)

Cranial Acetabular Edge (L)(Required)

Dorsal Acetabular Edge (R)(Required)

Dorsal Acetabular Edge (L)(Required)

Cranial Effective Acetabular Rim (R)(Required)

Cranial Effective Acetabular Rim (L)(Required)

Acetabular Fossa (R)(Required)

Acetabular Fossa (L)(Required)

Caudal Acetabular Edge (R)(Required)

Caudal Acetabular Edge (L)(Required)

Femoral Head / Neck Exostosis (R)(Required)

Femoral Head / Neck Exostosis (L)(Required)

Femoral Head Recontouring (R)(Required)

Femoral Head Recontouring (L)(Required)

Totals (R)(Required)

Totals (L)(Required)

Total Score(Required)

Hip Dysplasia Scheme Result(Required)

Pass

Fail

ELBOW X-RAY RESULTS

Elbow Arthritic Change (mm) (R)(Required)

Elbow Grade (R)(Required)

Ununited Anconeal Process (R)(Required)

Normal

UAP

Elbow Arthritic Change (mm) (L)(Required)

Elbow Grade (L)(Required)

Ununited Anconeal Process (L)(Required)

Normal

UAP

Elbow Dysplasia Scheme Result(Required)

Pass

Fail

RADIOLOGISTS CONFIRMATION

Radiologist's Comments (available to owner)

Date of Examination(Required)

Radiologist's Declaration(Required)

I hereby certify that the above animal was examined under the rules of the German Shepherd Dog Council of Australia Inc. Hip and Elbow Dysplasia Scheme.

Signature(Required)

Results Completed(Required)

Radiologist to tick when results completed

Scoring Completed

Results Approved for Publishing? (Radiologist-only)(Required)

Approved

Hip and Elbow X-Ray File Submission

VETERINARY INFORMATION

X-ray File UPLOAD

Contract and Pedigree File UPLOAD

HIP X-RAY RESULTS

ELBOW X-RAY RESULTS

RADIOLOGISTS CONFIRMATION

Admin

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