Please submit this form along with our regular sample submission form for any post mortem samples. Please call or email us if you have any post mortem questions

Photographs are extremely helpful when interpreting post mortem changes, please email any photos to our photo email address:

Please fill in the below form or attach a gross necropsy report with any post mortem samples. If a tissue or site was not examined, please enter “NE” in description or leave empty

Clinic Name (*):

Patient First Name (*):

Patient Last Name (*):

Was the animal euthanized? If so, what method?

Date and time of death (*):

Date and time of necropsy (*):


GENERAL CONDITION (Nutritional condition, physical condition, BCS)
Neonates: examine for malformations (cleft palate, deformed limbs, etc) :

SKIN (Including pinna, feet):

MUSCULOSKELETAL SYSTEM (Bones, joints, muscles):

BODY CAVITIES (Fat stores, abnormal fluids):

HEMOLYMPHATIC (Spleen, lymph nodes, thymus):

RESPIRATORY SYSTEM (Nasal cavity, larynx, trachea, lungs, regional lymph nodes):

CARDIOVASCULAR SYSTEM (Heart, pericardium, great vessels) :

DIGESTIVE SYSTEM (Mouth, teeth, esophagus, stomach, intestines, liver,
pancreas, mesenteric lymph nodes):

URINARY SYSTEM (Kidneys, ureters, urinary bladder, urethra):

REPRODUCTIVE SYSTEM (Testis/ovary, uterus, vagina, penis, prepuce,
prostate, mammary glands, placenta):

ENDOCRINE SYSTEM (Adrenals, thyroid, parathyroids, pituitary):

SAMPLES COLLECTED (Please list all samples collected for histology):