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?
New Client Registration Form
Where will your pet be traveling to?
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
Format: (000) 000-0000.
Email Address
example@example.com
Is the receiver the same as the shipper?
Receiver Name

First NameLast Name
Physical Address of Destination

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country:
Destination Phone Number:
Format: (000) 000-0000.
Purpose of Travel/Movement

Other
Departure Date

MonthDayYear
Date
Method of Travel/Carrier

Other
Is this a round trip?
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?
Pet’s Information
Pet’s Name
Species:

Other
Breed:
Sex:
Age:
Color:
Has your pet been vaccinated for Rabies?
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

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Is your pet microchipped?
Microchip number (If known):
Are you traveling with more than one pet?
Pet’s Name
Species:

Other
Breed:
Color:
Has your pet been vaccinated for Rabies?
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

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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?
If yes, specify the veterinary office

Other
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.
Should be Empty:

PET TRAVEL FORM

Shipping Information

Pet’s Information