Complete this form 72 hours prior to your scheduled appointment to avoid cancellation or rescheduling. Prior to completing the form visit https://www.aphis.usda.gov/aphis/pet-travel to review the necessary requirements based on your destination.

Local Address and Shipper Information

Destination Address and Consignee Information

Destination Requirements (Dogs)
Destination Requirements (Cats)

Travel Information

Means of Transport
Will you be traveling with your pet?

Pet Information

Do you have your pet’s last rabies certificate (If administered at another veterinary clinic?
If yes, please email it to the clinic within 24 hours of submitting this form.
Do you have your pet’s vaccination records (If vaccines were administer at another veterinary clinic)?
If yes, please email it to the clinic within 24 hours of submitting this form.
Microchips are required by most countries for import. If my pet does not have a microchip, I authorize Loch Haven Veterinary Hospital to administer one.
Has your pet received a flea and tick preventative in the last 30 days (or 90 days if using Bravecto)?
Has your pet bitten anyone in the last 30 days?

Declaration Of Responsibility And Understanding

I understand that in issuing a Health certificate, the veterinarian must verify that, to the best of their knowledge, my pet is free of communicable disease including internal and external parasites. In order to verify they are free of internal parasites, my pet must be tested today or treated with a dewormer. I authorize Loch Haven Veterinary Hospital to perform the necessary test if they can get a sample. If they are not able to get a sample or parasites are identified on the test, I authorize Loch Haven Veterinary Hospital to provide an appropriate deworming treatment. In order to verify that my pet is free of external parasites, my pet must be current on a flea and tick preventative. If they are not, I authorize Loch Haven Veterinary Hospital to administer a preventative today. My pet may require additional vaccines or tests depending on the specific requirements of the country or state I am traveling to and these will be discussed during the health certificate appointment.

I have reviewed the requirements for my pet to travel at aphis.usda.gov and have fulfilled all the requirements of my destination country or state and by the airline or shipper that I am using. If I have declined any tests or services recommended to me by Loch Haven Veterinary Hospital, I acknowledge that I have accepted the risk that my pet may be turned away at their destination or quarantined until any necessary services are rendered at my expense. I have answered the above questions truthfully to the best of my knowledge.

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