Application for Health Certificate Exams

Application for Domestic Health Certificate Exams

Domestic Health Certificate $280

Health Certificate for Hawaii $397

These prices do not include any vaccines or additional testing that may be associated with obtaining the health certificate for your destination.
Name (First, Last)
Phone Number

Area CodePhone Number
Email Address
example@example.com
Preferred method of contact prior to appointment

Phone callEmailText Message
Origination

Where you and your pet are currently residing
Address (Physical)
City
State
Zip Code
Pet(s) Information
Pet's Name*
Species*
Breed*
Age/Date of Birth*

MonthDayYear
Date
Microchip number (if required by the destination state)
Microchip Implantation Date

MonthDayYear
Date

Enter Additional Pet
Pet's Name
Species
Breed
Age/Date of Birth

MonthDayYear
Date
Microchip number (if required by the destination state)
Microchip Implantation Date

MonthDayYear
Date