Wildwood Veterinary Clinic - International Travel Questionnaire

3734 S Moody Ave. Portland, Oregon 503-477-4757

wildwoodhealthcertificates@gmail.com
International Travel Questionnaire

These answers will help us create your pet's international health certificate. Please note - we are NOT a travel company, but we can guide you to obtain the correct documentation you need to travel with your pet! We highly suggest you look up your country's requirements before scheduling an appointment by going to https://www.aphis.usda.gov/pet-travel
List the destination country you are traveling to with your pet*
What type of import is this?*

PermenantTemporary
Is the animal traveling a service animal?

YesNo

Are you a new client?

YesNo
List the name of your previous veterinary clinic(s) (if other than Wildwood Veterinary Clinic) so we can obtain your pet's records:
Previous Veterinarian's phone number:
Please enter a valid phone number.Format: (000) 000-0000.

Who is accompanying your pet while traveling?*

Me (the owner)A person authorized by the ownerA pet transport company is transporting the petNo one (pet traveling alone)
Owner's Name*

First NameLast Name
Owner's Email*
example@example.com
Owner's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Owner's International Phone Number (if applicable)
Please enter a valid phone number.Format: (000) 000-0000.
Person Authorized by the owner

First NameLast Name
Person Authorized Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pet Transport Company Name
Pet Transport Company Email
example@example.com

How is your pet leaving the United States?

Air - Direct flight (no layovers)Air - Layover if another state/country. Please list the state, country or countries your pet will land in before the destination is reached:CarTrainBoat - DirectBoat - Cruise ship - please list all countries the cruise is stopping at
List place(s) of layovers in order of arrival

What date is your pet LEAVING the united states?

MonthDayYear
Date
What date is your pet ARRIVING in the destination country?

MonthDayYear
Date
What day would you like to schedule your visit?

MonthDayYear
*Most appointments need to be scheduled within 10 days of traveling. **We do not schedule international health certificates on Saturdays! (USDA is closed on weekends). ***This does NOT confirm your appointment date/time until our specialist speaks directly with you.
Appointment time preference

Minutes

AM/PM Option

What airline(s) will you be using?
How is your pet flying?

CabinCargo
Did your airline give you any additional travel requirements for your pet?

Yes, I will give this to my VeterinarianNoI don't know
Where is your pet traveling from (last air or seaport in the United States)?

If the official certificate has to be shipped back from the USDA, would you prefer it be shipped to you or to the clinic? (This will be shipped using a FedEx overnight label provided by us)

My homeTo the clinic
If you choose your home, please list name and address of where it should be sent

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

International Travel Questionnaire