Identification

Survey code: EQC-sur2022

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1. Dog and owner identification (Required.)

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2. Name of the veterinary clinic/hospital that administered the treatment (Required.)

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3. Post code of the veterinary clinic

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4. Upload a picture of the batch label or type the batch number below (if you have it)

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5. Type the batch number (if you know it)

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6. Administration date

Date

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7. Administered joint

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8. Has your dog suffered any adverse reaction such as increase of pain and lameness after DogStem administration?

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9. Has your dog suffered any other adverse reaction after DogStem administration?

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10. I consent to TVM UK/EquiCord contacting me to hear more about my (and my dog’s) experience with DogStem®.

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