Travel Health CertificateTravel Health Certificate Name(Required) First Last Phone(Required)Pet Name(Required)Email(Required) How old will your pet be at the date of travel?What type of pet will be traveling? Dog Cat Ferret Bird Rodent Hedgehog/Tenrec Rabbit Reptile AmphibeanDoes your pet have a microchip? Yes Yes, I don’t know when it was implanted No I don’t knowImplanted on MM slash DD slash YYYY If your pet has a microchip, what is that number?When was your pet’s last rabies vaccine? Who was the veterinarian who gave that last vaccine? The veterinarian issuing my international health certificate administered my pet’s last rabies vaccine. A veterinarian other than the veterinarian issuing my health certificate administered my pet‘s last rabies vaccine. Please bring the last valid rabies certificate with you to your appointment. I don’t know My pet isn’t vaccinated for rabies.Date vaccine was given MM slash DD slash YYYY What is the country your pet(s) traveling/moving to?How many pets are traveling?What date will your pet(s) be departing from the United States? MM slash DD slash YYYY What date will you be arriving at your destination? MM slash DD slash YYYY What date will your pet(s) be arriving at your destination? MM slash DD slash YYYY Is this a permanent move to the destination country or a temporary trip?Who is accompanying your pet(s) while traveling? The owner A person authorized by the owner No one A pet transport companyList the address(s) and phone number(s) in the destination country where your pet(s) will be staying during your stay.How will your pet be leaving the United States? Airplane-Direct Flight Airplane- Layovers in another country. Please list the country or countries your pet will land in before reaching your final destination: Car Train Boat-Direct Boat- Cruise shipPlease list the country or countries your cruise will be stopping at:What airport/seaport will your pet be leaving the United States from?What airline will your pet being flying?What is your pet’s flight number?Will your pet be in the cabin or traveling via cargo?Does your airline or cruise ship have any additional travel requirements for your pet? Yes. Please let us know what these requirements are. NoDoes your destination country require an import permit? Yes No I don’t knowConsent I have read and I understand the INTERNATIONAL HEALTH CERTIFICATE USDA WAIVER on this page: https://thewellpetcenter.com/health-certificate-information/CAPTCHAΔ
