We will be closed on Monday, September 7th in observance of Labor Day

Health Certificate Questionnaire

By completing this form, you help ensure that we have the information needed for USDA approval.

Health Certificate Questionnaire

Owner's Name *

First

Last

Email *

Departure Date *

What Airport or Port Will You Be Using To Leave This Country? *

Returning Date (if applicable) *

Please list any other country(s) that you will be visiting or entering on the way to your destination *

Pet’s Name *

Species and Breed *

Date of Birth *

Color and Markings *

Sex

Male
Female
Neutered
Spayed

Microchip Number *

Microchip Manufacturer *

Date Implanted *

Name of Owner *

Name Pet Microchip

Name of Person or Business Traveling with Pet *

Current Address

Address Line 1

Address Line 2

City

State

Zip Code

Current Telephone Number 1

Current Telephone Number 2

Address of Destination *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please provide vaccine information if administered at another facility:

PLEASE MAKE SURE YOU HAVE ALL AVAILABLE DOCUMENTS NECESSARY FOR YOUR PET (RABIES VACCINE HISTORY, MEDICAL RECORDS, ID CHIP NUMBER IF ANY, ETC.)

Veterinary Forms

Request Appointment Form

Surgery Consent Form

High Risk Waiver Form

Health Certificate Questionnaire

Canine Surgical Discharge Instructions

Feline Surgical Discharge Instructions

Dental Surgical Instructions

Health Certificate Questionnaire

Health Certificate Questionnaire

Please provide vaccine information if administered at another facility:

PLEASE MAKE SURE YOU HAVE ALL AVAILABLE DOCUMENTS NECESSARY FOR YOUR PET (RABIES VACCINE HISTORY, MEDICAL RECORDS, ID CHIP NUMBER IF ANY, ETC.)

Veterinary Forms

Contact Us

Hours