Semen Transfer / Release Form

Save time during your next appointment! Complete your required semen transfer/release form online before your visit.

Semen Transfer / Release Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Downloadable Form

If you choose to release frozen semen or transfer ownership of frozen semen to new owner, please fill out the following form and return to us at reception@sladevet.com.

Stud Information

Current Owner Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

For stud dogs with multiple owners, please list the primary contact person authorized to make all breeding-related decisions, understanding that this is the ONLY person who will be contacted by our staff in an effort to streamline all decisions and avoid any miscommunications.

Stud Call Name

Breed

Age

Registration Number

Brucellosis Test Date (if available)

Transfer Information

New Owner Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

If this is being transferred to a veterinary hospital, please list details below:

Veterinarian Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Unit Information

Number of Units Transferred

Date of Transfer

Authorization

Please indicate below and sign. Your signature authorizes Slade Veterinary Hospital to ship frozen breeding units for the identified dog to the listed new owner or facility.

Retain or Transfer

I retain ownership of the breeding units being shipped
I transfer ownership of the breeding units being shipped to the above listed name

Today's Date *

Type Name *

Email

Semen Transfer / Release Form