• Health Certificate

    Client Questionnaire Form
  • Health Certificates for Travel

    Interstate and International
  • One form per pet, for multiple pets please complete multiple forms individually.

    If you already have an appointment scheduled with our Hospital for Health Certificate services please complete this form no later than 48 hours prior to your appointment. This allows our team the time prior to your appointment to fill out records and travel paperwork properly for a smoother and quicker process. 

    Other resources regarding international travel with country specific details may be 
    found at: https://www.aphis.usda.gov/aphis/pet-travel

    Completion of this form does not guarantee Health Certificate services from Companion Animal Hospital. A member of our team will contact you with assistance following the form submission.

  • Destination of Travel :

  •  -  -
    Pick a Date
  •  -  -
    Pick a Date
  • Microchip Number:

  •  Please have the following supporting documentation prepared for our team to complete Health Certificate services:

    - Microchip information/record

    -Historical record of all vaccinations for the past 3 years

    NOTE: Rabies vaccines must be administered after implantation of the microchip to be valid for overseas travel.

  • Flying OUT of with .

  • Flying INTO with .

  • Should be Empty: