diff --git a/onprc_ehr/resources/queries/study/DVMAlertforAlopeciaCases.sql b/onprc_ehr/resources/queries/study/DVMAlertforAlopeciaCases.sql
new file mode 100644
index 000000000..e266815ef
--- /dev/null
+++ b/onprc_ehr/resources/queries/study/DVMAlertforAlopeciaCases.sql
@@ -0,0 +1,34 @@
+/* Added by Kollil 09/22/2025
+When BSU creates a case AND scores the alopecia at either 4 or 5 (only those scores) THEN the vet assigned to that animal should receive an alert.
+Show open cases in last 7 days
+Refer to tkt # 12523
+*/
+SELECT
+    co.Id,
+    co.date AS MostRecentDate,
+    co.observation AS MostRecentAlopeciaScore,
+    co.performedby,
+    co.enteredSincevetReview,
+    co.Id.assignedVet.AssignedVet as AssignedVet,
+    c.date as BehaviorCaseOpenDate
+FROM study.clinical_observations AS co
+    INNER JOIN study.demographics AS d
+        ON co.Id = d.Id
+    INNER JOIN study.Cases AS c
+        ON c.Id = co.Id
+        AND c.category = 'Behavior'
+        AND c.allProblemCategories = 'Behavioral: Alopecia'
+        AND c.enddate IS NULL
+WHERE
+    co.category = 'Alopecia Score'
+    AND co.observation IN ('4', '5')
+    --AND co.date >= '2025-01-01'
+    AND d.calculated_status = 'Alive'
+    AND co.date = (
+    SELECT MAX(co2.date)
+    FROM study.clinical_observations AS co2
+    WHERE co2.Id = co.Id
+      AND co2.category = 'Alopecia Score'
+      AND co2.observation IN ('4', '5')
+)
+  AND c.date >= TIMESTAMPADD(SQL_TSI_DAY, -7, now())
\ No newline at end of file
diff --git a/onprc_ehr/src/org/labkey/onprc_ehr/notification/VetReviewNotification.java b/onprc_ehr/src/org/labkey/onprc_ehr/notification/VetReviewNotification.java
index 9008df054..ff3d3b5d1 100644
--- a/onprc_ehr/src/org/labkey/onprc_ehr/notification/VetReviewNotification.java
+++ b/onprc_ehr/src/org/labkey/onprc_ehr/notification/VetReviewNotification.java
@@ -86,12 +86,37 @@ public String getMessageBodyHTML(Container c, User u)
         StringBuilder msg = new StringBuilder();
 
        /* remarksWithoutAssignedVet(c, u, msg);*/
+        DVMAlopeciaAlert(c,u,msg);
         vetRecordsUnderReview(c, u, msg);
         animalsWithoutAssignedVet(c, u, msg);
 
         return msg.toString();
     }
 
+    /* Added by Kollil 09/22/2025
+   When BSU creates a case AND scores the alopecia at either 4 or 5 (only those scores) THEN the vet assigned to that animal should receive an alert. Show open cases in last 7 days
+    Refer to tkt # 12523
+    */
+    private void DVMAlopeciaAlert(final Container c, User u, final StringBuilder msg)
+    {
+        TableInfo ti = getStudySchema(c, u).getTable("DVMAlertforAlopeciaCases");
+
+        TableSelector ts = new TableSelector(ti, null, null);
+        long total = ts.getRowCount();
+//        msg.append("<b>ALERT: Animals with alopecia score of 4 or 5 with open behavioral case for alopecia in last 7 days:</b><p>");
+        if (total > 0)
+        {
+            msg.append("<b>ALERT: Animals with alopecia score of 4 or 5 with open behavioral case for alopecia in last 7 days:</b><p>");
+            msg.append("There are " + total + " entries found. ");
+            msg.append("<p><a href='" + getExecuteQueryUrl(c, "study", "DVMAlertforAlopeciaCases", null)  + "'>Click here to view them</a></p>\n");
+            msg.append("<hr>\n\n");
+        }
+        else
+        {
+            msg.append("<b>WARNING: No animals found with alopecia score of 4 or 5 with open behavioral case for alopecia in last 7 days!</b><br><hr>\n");
+        }
+    }
+
     public void vetRecordsUnderReview(Container c, User u, final StringBuilder msg)
     {
         int duration = 7;