2022 Incidence Survey Please fill in the below with information from your clinic or shelter. Question Title * 1. Clinic Information Clinic Name Clinic Address City State Zip Question Title * 2. Your Information Name Phone Email address* *By providing your email address above, you will receive free news updates from the American Heartworm Society (AHS), and information about our exclusive practice and client education tools. At the American Heartworm Society, we respect your privacy. If after subscribing, you change your mind, you can opt out at any time. Next