Health Certificate for Travel Form

Health Certificate for Travel

When traveling with your pet(s), there may be animal health requirements specific to that destination. Typically a pet is required to be current on vaccinations, have other tests and treatments, and have a USDA-approved health certificate. For more details, visit: Health Certificates.

As soon as you know your travel details, please schedule an appointment and complete the form below prior to your appointment.

First Name*:

Last Name*:

Address*:

Address, Line 2:

City*:

State*:

Zip/postal*:

Email*:

Phone*:

Species*

Travel Destination Address

Address*

Address 2

City*

State*

Zip / Postal Code*

Travel Details

Traveling internationally or domestically?*

Internationally

Domestically

Purpose of Travel*

Departure Date*

Method of Travel*

Air

Car

Train

Other

Carrier Name (ie Delta, Amtrak)*

Pet Details

Pet Name*

Pet Age*

Pet Gender

Neutered?

Microchip ID (if known)

Has your pet been tested for FAVN (Fluorescent Antibody Viral Neutralization)?

Yes

If yes, please upload a copy of the results.

(1 MB max)

Please upload copies of your pet's vaccine information.

(1 MB max)

Additional file (if needed)

(1 MB max)