Travel Health Certificate Questionnaire

Complete your required forms online from any device at any time before your visit.

Travel Health Certificate Questionnaire
Form

Thank you for choosing Mermaid Vet Hospital for your pet’s travel needs. Please ensure that the information you fill out on this form is accurate. We will use this information to fill out the necessary paperwork for your pet. If you have any questions before your visit, please don’t hesitate to contact us. Please know that some countries require 6-12 months of planning.

**Mermaid Vet Hospital will not be responsible for any inaccurate information provided by the client. **

Pet's Information

Client's Information

Destination Information

Travel Plans

Health History

Rabies vaccine information is found on pet's rabies certificate; if you do not have that document, you will need to contact your previous veterinary clinic for records. *Please bring rabies certificates to your appointment*

*If a rabies titer test is required for your country of destination, we will need to schedule a separate appointment for this test. The timing depends on your destination. *

Date of Most Recent Other Vaccinations:

Date of Most Recent Lab work:

Microchip

Depending on the destination, we may need the earliest date your pet's microchip was scanned and documented; if the date of microchip placement is unknown, you may need to contact your previous veterinary clinic for records. You will also need to verify if it is 150 compliant (15-digit code). This information can be found on the USDA APHIS Pet Travel website.

Additional Information

You must visit the USDA APHIS website (http://www.aphis.usda.gov/aphis/pet-travel) to make sure your pet meets all the requirements for entry at your destination.

International Travel: With the exception of Canada and Mexico, international health certificates must be endorsed by the USDA after we issue it. USDA may take 5-10 business days to complete the process.

 

To ensure you get your documents back in time for your trip, please schedule your appointment with us within the time frame of the destination. It may take our office 48 hours to complete the certificate for submission to USDA.

 

HAWAII TRAVEL: Please visit the Hawaii Department of Agriculture's website (http://hdoa.hawaii.gov/ai/aninmal-quarantine information-page/) to make sure your pet meets all the requirements.

 

AIRLINES: Please be aware that airlines have their own requirements for travel, so in addition to making a reservation for your pet, you will need to make sure that you have all the necessary documents.

Click or drag files to this area to upload. You can upload up to 5 files.
I acknowledge that | have read through this form in its entirety and have visited the USDA APHIS website to make sure my pet meets all the requirements for entry at my destination. I will also attach and/or email medical records with this form.