Report a Stabyhoun Health Problem

Date *

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Stabyhoun's Name *

Registered Name or Call Name

What issue are you reporting? *

Please give us the details! *

Describe briefly the health problem(s) which exist and if verified by a veterinarian. Include the diagnosis, if known.

Date of death or if illness, when it first occurred.

I would like to be contacted: *

Please upload the Vet Records/ diagnosis when possible.

Click or drag files to this area to upload. You can upload up to 5 files.

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