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You go to a vet. Call around to see who does what. Some vets do both Pennhip and OFA others don't.
 

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OFA hips or Penn hip and you have to call around to find a good vet to take the x-ray then you have to send it in to be put on record and graded. That is kind of a quick summary of what it is.
They look for how tight the hips are and grade them
 
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