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Health Certificate Information

Owner/Shipper’s Name:(Required)

Owner/Shipper’s Address:(Required)

Owner/Shipper’s City/State:(Required)

Receiver (same name as Owner/Shipper if you are traveling on the plane with your pet):(Required)

Receiver’s Address: (address to which you are traveling)(Required)

Receiver’s City/State:(Required)

Pet’s Name:(Required)

Breed:(Required)

Age:(Required)

Sex(Required)

Color/Markings

Vaccination dates (if given elsewhere than at Applewood Animal Hospital)

Rabies (date given):(Required)

DaP (Distemper/Parvo) (date given):

Bordetella (date given):

Other (what vaccine and date given):

International Travel

PLEASE NOTE: FOR TRAVEL OUTSIDE THE UNITED STATES (EXCEPT TO MEXICO), PLEASE CHECK OUT THE REQUIREMENTS FOR THE COUNTRY TO WHICH YOUR PET IS TRAVELING.

https://www.aphis.usda.gov/aphis/pet-travel

MANY COUNTRIES HAVE EXTENSIVE REGULATIONS WHICH REQUIRE PREPARATION MONTHS IN ADVANCE!