Online Form

OFA Certification Form

Orthopedic Foundation For Animals (OFA) Certification Form

Save time during your next appointment! Complete your required forms online from any device at any time or download the form before your visit. For more information, visit the OFA website.

OFA Website

Previous Application Number (if any):

Registered Name: *

Other Registry Name:

Registration Number:

Other Registry Number:

Breed *

Color *

Sex *

Date of Birth (month-day-year): *

ID Number (if any):

Tattoo
Microchip

ID Number:

Registration Number of Sire:

Registration Number of Dam:

Date Radiograph was Taken (month-day-year):

Film No.:

Examining Veterinarian’s Name or Veterinary Hospital:

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Owner's Information

Owner Name *

First

Last

Co-Owner Name

First

Last

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

I hereby certify that the radiograph submitted is of the animal described in this application and that neither the pelvic nor the elbow conformation have been surgically altered. I understand that the radiograph and/or image submitted will be retained by the OFA. I understand that the radiograph and/or image is submitted for a consensus evaluation based on the independent, professional judgment of consulting board-certified veterinary radiologists, and I hereby release the OFA from any and all liability resulting from the consensus evaluation. I understand the OFA will release normal hip and/or elbow results for dogs over 24 months to the public, and by submitting this application, I agree the OFA may do so. Abnormal hip and/or elbow results will not be released to the public unless the initials of a registered owner appear in the authorization box below. Normal hip results are defined as consensus evaluations of Excellent, Good, or Fair. Abnormal hip results are defined as consensus evaluations of Mild, Moderate, or Severe. For the purpose of determining whether or not the results will be released to the public, consensus hip evaluations of Borderline are considered abnormal. Normal elbow results are defined as a consensus evaluation of Normal. All other elbow consensus evaluations are considered abnormal.

Signature of Owner or Authorized *

Authorization to Release Abnormal Results

I hereby authorize the OFA to release the results of its radiographic evaluation of the animal described in this application to the public if the results are abnormal. *

(initials of registered owner)

Date *

Online Form

OFA Certification Form

Orthopedic Foundation For Animals (OFA) Certification Form

Owner's Information

Authorization to Release Abnormal Results

Why they chose us

Contact

Address

Hours

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Online Form

OFA Certification Form

Orthopedic Foundation For Animals (OFA) Certification Form

Owner's Information

Authorization to Release Abnormal Results