International Health Certificate Information Form

Owner's Legal Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Day Time Phone

Evening Phone

Mobile Phone

Email

Confirm Email

Date of Birth

Co-owner's Legal Name

First Last

Co-owner's Primary Phone

Pet's Information

Pet's Name

Sex

Spayed Female
Intact Female
Neutered Male
Intact Male

Species

Breed (if known)

Color

Date of Birth/Age (if known)

Microchip number:

Microchip Implantation date

Previous Veterinary Practice (if any)

Previous Veterinarian (if any)

Date of all RABIES vaccine

Other vaccinations given?

Do you have signed Rabies certificate for your pet? (not reminder or receipt): if yes, please attach.

Does your pet have EU pet passport? If yes, please attach.

Is owner traveling with the pet in the same plane? If not, please enter name of the person traveling with pet:

First Last

Is pet going with cargo?

Destination country? (where owner and pet clearing customs)

Travel date:

IMPORTANT:

Consent*

I have read and understand the below policy.

Please note, due to an extremely high volume of international health certificate requests, we are operating on a first come -first served basis and may take up to 4-7 business days to get back to your email.

If your pet’s travel plans are urgent, we highly suggest seeking other accredited veterinary clinics for your pet’s health certificate if we are unable to accommodate your request.

International health certificates involve a 2-step party process; one is the accredited veterinarian and the second is the USDA office (government veterinarian). Once we submit the documents, they are submitted directly to the USDA, VEHCS web portal. Please note, the USDA office may take 3-7 business days for endorsements, and we have no control in the endorsement timeline so please plan accordingly.

Thank you.

Please do not email us health certificate forms, we will fill those out at our end.

Thank you for contacting Beverly Robertson Veterinary Clinic

Contact Us

International Health Certificate Information Form

International health certification information form

Pet's Information

IMPORTANT:

International Health Certificate Information Form

International health certification information form

Pet's Information

IMPORTANT:

Share