Health Certificate Questionnaire
Please fill out as much as possible. Please remember if you are traveling outside the US this is a lengthy process. Please allow enough time to get the health certificate endorsed by the USDA.

Refer to the USDA website for travel requirements please make sure you have read and know all requirements prior to your appointment.
https://www.aphis.usda.gov/aphis/pet-travel

**Please note as of August 1st 2024 all dogs re-entering the USA you must fill out a import form. 
https://cdc-786687.workflowcloud.com/forms/090dc543-7b2f-4538-b2c7-2919d12ecc73

Who will be traveling with the pet? *
Name of person or transport company that will be traveling with the pet? (if none please list N/A) *
What is your current address?  *
Contact number that should be listed on the health certificate? *
Please list the complete destination address. 
(if going to multiple countries, what is the end destination) 
***To ensure your pet's health certificate can be properly endorsed, please provide the complete address of your final destination. If you are staying at a hotel or Airbnb, please include that specific address.

USDA will not endorse any health certificates without a complete destination address.
 *
What is the purpose of your travel? *
What type of pet will be traveling? *
What is your pets
1. Name.
2. Date of birth.
3. Breed.
4. Color.
5. Gender. (if neutered/spayed)
 (please make sure it matches your rabies certificate)
 *
Is a microchip required for your destination country? (please refer to APHIS pet travel website) *
If yes, is a specific type of microchip required? or is a microchip reader allowed?  (if yes, list the type) *
Does your pet have a microchip? *
Please include their microchip number and date your pet was microchipped.  *
What date is your pet leaving the United States (or California if traveling within the U.S.)? *
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When will your pet be arriving in the destination country (or State if traveling within the U.S.)? *
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Is your pet up to date on vaccines? If no, what vaccines are overdue? *
Has your pet received at least 2 rabies vaccines in it's lifetime? (required for certain countries) *
What vaccines does your destination country require? When must the vaccines be given? *
Are any laboratory tests required by your destination? *
If yes, what tests are required and when must these samples be collected? (Note: The sample MUST be collected within the testing timeframe required by your destination country. Some tests may take a long time for the results to be returned and/or some countries require a waiting period after testing and before entry into the destination country). Please note if the testing has already been done, what lab was used, and if results were positive.
Is deworming required by your destination?   *
Are any treatments required by your destination country? If yes, please list what treatments and when they must be given. *
When was your pets last physical exam? *
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When must a physical exam of the pet (s) be performed prior to travel to your destination country? *
What airline will you be traveling with?  Does your airline require any additional documents? *
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