David G Parsons M.R.C.V.S The Poultry Health Centre

PIGEON SUBMISSION FORM
Client Name:………………………………….. WL REF:……../…………
Address: ………………………………………
………………………………….………………... Tel: ……………………...
….………………………..Post code:………… Fax:………………………
email: ………………………………………
D.G.Parsons Ref No: DP/ ....................................
Loft name: ........................................................................
Sample Reference No(s): .................................... Section: ....................................
Date Sampled: .................................... No. of Samples: ....................................
Sample Type: ....................................
Type of Pigeon: .................................... Age: days / weeks ....................................

PLEASE TICK THE TEST THAT YOU REQUIRE FROM THE TABLE BELOW
Test Tick the test Required Price (includes VAT)
Coccidia / worm count ....................................
£10.00p
Pre - race check - 1
Coccidia / worm count, E.coli + antibiotic sensitivity,
Salmonella, Yeast		 ....................................
£32.00p
Coccidia / worm count, E.coli + antibiotic sensitivity,
Salmonella, campylobacter		 ....................................
£32.00p
E.coli and sensitivity ....................................
£12.00p
Pre - race check - 2
Clinical examination of 2-3 pigeons,
canker, coccidia, worms, via Amtrak or by appointment		 ....................................
£55.00p
Post mortem examination up to 3 birds including bacterial culture ....................................
£40.00p

Note:- when sending live birds please ensure that you have telephoned me first - 07811 155387

SEND THIS SUBMISSION FORM WITH YOUR SAMPLES TO THE ADDRESS BELOW

Wincanton Laboratory Ltd., Alfred's Way, Wincanton Business Park, Wincanton, Somerset BA9 9RU
Tel.no 01963 435605

Please make cheques payable to D.G.Parsons MRCVS