International Health Certificate Information
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Pet's Name(s)
Best Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
May we send a text message?
Yes
No
List the destination country you are traveling to with your pet:
Will you be accompanying your pet while traveling?
Yes
No
It not, please provide the name of the person traveling with your pet.
List the address and phone number in the destination country:
Is this a temporary visit or a permanent move?
Temporary
Permanent
How is your pet leaving the United States?
Air - Direct Flight
Air - Layovers in another country.
Car
Boat
If you have layovers, list the country or countries your pet will land in before the destination country is reached:
What date is your pet leaving the U.S. and from where (last airport or seaport in the U.S.)?
Provide the date that you will arrive in the destination country:
Provide the date that your pet will arrive in the destination country:
How many pets are traveling?
How old will the pet be at the date of arrival:
What type of pet will be traveling?
Dog
Cat
Other (please specify below)
If other than Dog/Cat, please provide the species/breed:
Does your pet have a microchip?
Yes
No
I don't know.
If known, please provide the date of microchip implantation:
When was your pet's last rabies vaccination?
Hillside Pet Clinic administered my pet's last rabies vaccination.
A veterinarian other than Hillside Pet Clinic administered my pet's last rabies vaccination. I will bring the last valid rabies certificate to my appointment.
I don't know.
My pet isn't vaccinated for rabies.
Does your destination country require and import permit?
Yes
No
I don't know.
Submit
Should be Empty: