Pet Owner Registration

Thank you for wanting to participate in the Study.
Registration is a four-step process. Step One is to fill out the registration form.
Step Two is to agree to the participation release. Step Three is to purchase the first lab tests. Step Four is to schedule with a Study Vet.

STEP ONE: Fill out registration form

Name *

First

Last

Street Address *

City *

State *

Zip Code *

County *

Email *

Phone Number *

DOG'S NAME *

DOG'S BREED *

DOG'S AGE *

Select Test Group *

Group One - Dogs with symptoms and not diagnosed with Valley Fever Group Two - Dogs diagnosed with Valley Fever Group Three - Healthy dogs in three counties

Now you move to selection of tests

click to step two

PLEASE NOTE ABOUT YOUR PARTICIPATION

Confidentiality
Your data is confidential. Your veterinarian will receive the test results with your dog’s name but the dog will be identified by a site code identifier within the Study database.

Risks
Misdiagnosis is always a grave risk with Valley Fever. Titers may be negative in very sick dogs. Valley Fever is frequently mistaken for cancer. Blood draws are sometimes difficult and there might be bruising where the needles are inserted. There is no compensation available in the unlikely event of physical harm or misdiagnosis.

Sharing the Results
Important and relevant information from the study will be shared with you through updates at the Canine Valley Fever Project website. Results from the Study will be published in scientific journals. Dogs that are positive for Valley Fever will constitute a registry that will provide valuable cases studies for future veterinarian study.

Right to Withdraw
After the Screening Visit if you do not wish to participate simply let your Study Vet know. If you do decide to continue with the Study and have to withdraw later on that is also acceptable. Please just notify the Study Vet.

Click to move to step two