Pet Travel Health Certificate Form

Traveling with your pet? Fill out this form to begin the process for a USDA-approved health certificate, required for many domestic and international trips.

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Pet Owner Worksheet for Preparing Visit with Accredited Veterinarian to Complete Health Certificate

Please note that preparing for travel to some countries can take several months.
Complete this worksheet BEFORE meeting with the USDA Accredited Veterinarian who needs this information to complete your international health certificate.

Name: *

First

Last

Email: *

Phone:

List the destination country your pet is traveling to: *

Who is accompanying your pet while traveling?: *

destination at: reached:

Pet Name: *

List the address(es) and phone number(s) in the destination country where your pet will stay during the visit: *

How is your pet leaving the United States?: *

List the country or countries your pet will land in before the destination country is reached: *

What date is your pet leaving the United States and from where (last air or seaport in the U.S.)?: *

Date that your pet will arrive in the destination country: *

Date that you will arrive in the destination country (if you are accompanying your pet). *

How old will the pet be at the date of travel?: *

What type of pet will be traveling?: *

Date Implanted: *

Date Issued: *

When was your pet's last rabies vaccination?: *

The veterinarian issuing my international health certificate administered my pet's last rabies vaccination.
A veterinarian other than the veterinarian issuing my international health certificate administered my pet's last rabies vaccination. I will need to bring the last valid rabies certificate to my appointment.
I don't know.
My pet isn't vaccinated for rabies.

Did your airline or cruise ship give you any additional travel requirements for your pet?: *

Yes, I will give this to the veterinarian issuing my international health certificate
No

Does your destination country require an import permit?: *

Yes
No
I don't know

Client Signature: *

Clear Signature

Today's Date: *

*This promotion is valid for new clients only and may be used once per client. Cannot be combined with other offers or promotions. Other restrictions may apply.

Pet Travel Health Certificate Form

Pet Owner Worksheet for Preparing Visit with Accredited Veterinarian to Complete Health Certificate

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