Health Certificate Form 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 you are traveling to with your pet.Who is accompanying your pet while traveling?The ownerA person authorized by the ownerNo oneA pet transport company is transporting the petList the address(s) and phone number(s) in the destination country where your pet will stay during the visit.How is your pet leaving the United States?Air — Direct FlightAir - Layovers in another country.CarTrainBoat — DirectBoat - Cruise shipList the country or countries your pet will land in before the destination country is reached:List all countries the cruise is stopping at:What date is your pet leaving the United States and from where (last air or seaport in the U.S.)?Provide the date that you and your pet arrive in the destination country? You Your petDate Date Format: MM slash DD slash YYYY Date Date Format: MM slash DD slash YYYY How many pets are traveling ?How old will the pet be at the date of travel ?What type of pet will be traveling?DogCatFerretDoes your pet have a microchip?YesYes, but I don't know when it was implanted.I have more than one pet but not all of them have microchips.NoI don't knowImplanted on: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.Date Date Format: MM slash DD slash YYYY Date Date Format: MM slash DD slash YYYY Does your destination country require an import permit?YesNoI don't know.Did your airline or cruise ship give you any additional travel requirements for your petYes, I will give this to the veterinarian issuing my international health certificate.NoDo you have an appointment already?YesNoSignature Like Us On FacebookGet Directions
