Phone: 714-891-2022 | Fax: 714-891-2123 | hemopet@hotmail.com | 11561 Salinaz Avenue, Garden Grove, CA 92843

The NUTRISCAN Test Request Form and Instructions can now be filled out online using the blank form shown below. You can send the samples by courier (FedEx) or alternative delivery through the Postal Service or other courier such as UPS. For International Samples, including Canada and Mexico, see special shipping instructions. US Customs clearance requires a letter specifying that the "sample is from a dog or cat for diagnostic purposes only, and is non-infectious."

Return mailing to Hemopet needs to be in a protected package or envelope. No refrigeration is necessary, and the saliva sample is viable for up to 30 days; however we do recommend that the sample should arrive at Hemopet within 10 days of being taken.

Date Drawn Date Sent
Veterinarian First Name
Last Name
Clinic Name
Address: Email send report to this Email-address
City State Zip
Phone Fax Cell
Client First Name
Last Name
Address Email send report to this Email-address
City State Zip
Phone Fax Mobile
Pet Store
Address: Email send report to this Email-address
City State Zip
Phone Fax Cell
Pet Name Species Breed
Pet Age Yrs Months Sex WeightLbs
Pet Diet
Reason for testing & brief history
List all Medication How much? How often?

Click the submit button below to submit & print your request and generate your tracking number.

Check tests desired and enclose appropriate fees (Prices in US dollars)
 Cost
NutriScan Panel 1
$ 130.00
NutriScan Panel 2
$ 130.00
NutriScan Panel 1 + Panel 2

SALIVARY IgA & IgM (Expect results within 2-3 weeks)
Collect 2 mLs of saliva using the special saliva kit (Add’l $15.99 +tax for the kit)
Call Hemopet @ 714-891-2022, ext 21 or email nutriscan@hemopet.org to order saliva collection kits.
(Antigens/Foods being tested are beef, corn, wheat, soy, cow’s milk, lamb, venison, chicken, turkey, and white fish, hen’s egg, barely, millet, rice, oatmeal, salmon, rabbit, quinoa, potato, and peanut)
Please make sure that you also order a NutriScan Kit (if you or your veterinarian do not already have one). Without the kit you will not be able to send us a sample to perform the Nutriscan test.
$ 250.00
NutriScan Kit


Should you find it necessary, you can call Hemopet 714-891-2022 ext 21 or email nutriscan@hemopet.org to provide your mailing address for the NutriScan kit to be mailed out.
$ 15.99
Tax on NutriScan Kit (7.75%)
$ 1.24
ADDITIONAL DONATION TO HEMOPET$
TOTAL$ 0.00
Please remember that your veterinarian has professional time and overhead costs.

NUTRISCAN: Bulk purchases will be useful for veterinarians to keep in stock and for kennel clubs and health clinics run by clubs. Please contact us for Bulk purchases at nutriscan@hemopet.org or call 714-891-2022 extension 21.

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