Canine Comparative Oncology Research Form
Investigator Information
Name
Institution
Email
Canine Patient Details
Dog Name
Breed
Age (years)
Sex
Female
Male
Weight (kg)
Microchip #
Cancer Diagnosis
Cancer Type
Diagnosis Date
Histological Subtype
Stage (if known)
Treatment Information
Treatment Type
Treatment Dates
Treatment Response
Outcomes & Follow-up
Current Status
Date of Last Follow-up
Comments / Notes