• Radiograph Information - To be completed by PennHIP member

  • The following is to be completed by the dog owner

  • Dog Information ™(To ensure accuracy we recommend including a copy of the dog’s registration papers)

  • Animals listed in the PennHIP open-optional database (see last paragraph) will be designated as to whether they have permanent identification

  • I understand that this information will be entered into a medical database and the results will be employed in an ongoing scientific investigation on canine hip dysplasia. However, I am also aware that my dog’s individual statistics will be kept confidential unless I authorize their release (see below). I certify that the radiographs are of the animal described above. I am aware that the radiographs will be retained by PennHIP and not returned to me. I understand that if there are fewer than twenty dogs of my breed in the database that my dog’s ranking will be made relative to the general dog population.

  • Authorization to Release My Dog’s Hip Scores: PennHIP is establishing an open-optional database to facilitate identifying and listing suitable breeding candidates. If PennHIP scoring indicates my dog to be appropriate for breeding (top 40% of the breed without degenerative joint disease), I authorize PennHIP to include my dog’s hip information in the PennHIP open-optional database, which will be made available to the public