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