PET TRAVEL FORM

PET TRAVEL FORM
A Certificate of Veterinary Inspection(CVI) is issued by an accredited veterinarian according to the requirements established by each state regarding import of pets.

The information you provide in this form will allow us to start the process of a Certified Veterinary Inspection (CVI) for traveling with your pet ahead of time to ensure efficient use of appointment time. Please note that most Health Certificates are valid for 10-30 days, depending on how and where you are traveling. There are many steps involved for completion, please visit the USDA Pet Travel website and enter your destination to see the most current requirements. Airline requirements for traveling with pets may be different than interstate pet import regulations.

Please complete this form at least 48 hours prior to your appointment.
Have you ever brought a pet to Kachemak Bay Animal Hospital before?*

YesNo, please follow the link below to also complete the new client registration form:
New Client Registration Form
Where will your pet be traveling to?*

Within Alaska (Intrastate)Mainland U.S. (Interstate) by airMainland U.S. (Interstate) by land through CanadaHawaiiMexicoCanadaOther international destination
International Travel (Outside of Mainland U.S., Hawaii, Canada and Mexico)

During your appointment/consultation, we will review the information provided and discuss IF we are able to assist you with your travel plans and go over starting costs.
Hawaii Travel

Follow this link to review the detailed requirements concerning bringing a pet into the state of Hawaii.
Shipping Information
Shipper Name*

First NameLast Name
Current Address (Where Pet Resides):*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Email Address*
example@example.com
Is the receiver the same as the shipper?*

YesNo
Receiver Name*

First NameLast Name
Physical Address of Destination*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country:*
Destination Phone Number:*
Purpose of Travel/Movement*

Personal TravelOwner RelocationSaleMedical TreatmentAdoptionBreedingShowTrainingOther
Departure Date*

MonthDayYear
Date
Method of Travel/Carrier*

Air cabin (means with you, under your seat or in their own seat)Air cargo (means under the plane)BoatCarTruckLandOther
Is this a round trip?*

YesNo
If Yes, What is the return date*

MonthDayYear
Date
If No, Do you want us to inactivate your account and be removed from future reminders?*

YesNo
Pet’s Information
Pet’s Name*
Species:*

DogCatOther
Breed:*
Sex:*

FemaleSpayed FemaleMaleNeutered maleUnknown
Age:*
Color:*
Has your pet been vaccinated for Rabies?*

YesNo
If yes, please attach copy of the rabies certificate or bring it to the appointment

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For Hawaii, please upload any FAVN results (if available) or bring them to the appointment

Cancelof
Is your pet microchipped?*

YesNo
Microchip number (If known):
Are you traveling with more than one pet?

YesNo
Pet’s Name*
Species:*

DogCatOther
Breed:*
Color:*
Has your pet been vaccinated for Rabies?*

YesNo
If yes, please attach copy of the rabies certificate or bring it to the appointment

Cancelof
For Hawaii, please upload any FAVN results (if available) or bring them to the appointment

Cancelof
Up to Date Veterinary Wellness Care

Please provide wellness care records within the past year, or the contact information for the veterinary office where care was last provided at. It is important for pets that travel to be up to date on wellness care items such as core vaccinations, heartworm testing and fecal testing. If up to date wellness care medical records are not provided, and declined at the time of your health certificate appointment, it will be noted in your pet’s medical record.
Has your pet had previous veterinary wellness care within the past year?*

YesNone
If yes, specify the veterinary office*

Kachemak Bay Animal HospitalOther
Upload Previous Veterinary Records:

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By signing below, I declare I am the lawful owner of the pet and all information is true and correct to the best of my knowledge.*

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PET TRAVEL FORM

Shipping Information

Pet’s Information