Health certificate questionnaire

Domestic & International Health Certificates
Regulations for a pet traveling outside of the continental US is governed by the nation the pet is traveling to. Those regulations and requirements may change at any time and without notice. The requirements and forms may be complex and may not be readily available to us.

Los Altos Veterinary Clinic takes our guidance from the United State Department of Agriculture Animal and Plant Health Inspection Service (USDA, APHIS). However, ultimately it is the pet owners responsibility to insure all requirements have been completed correctly and in a timely manner.

Please refer to the USDA website for travel information.

Errors can happen while we help facilitate your pets Health Certificate and we DO NOT guarantee you will not experience delays or refusal of entry; however, a Pet Transporter will extend guarantees. We highly recommend that you use a pet transporter.

Please acknowledge review of policies:

I understand the regulations for travel for my pet are regulated by the States, country or countries my pet may visit.

The costs associated with any additional treatment and/or quarantine, and/or the cost associated with the refusal for the pet to enter the State or country of destination in solely my responsibility as the owner.

Timing of all vaccinations, testing, medications and appointments are the owner’s responsibility and if errors are made owners will incur additional costs to repeat services needed.

We make no claim of warranty, suitability or acceptability for international health certificates beyond our endorsement on the forms provided by the owner and/or USDA-AAPHIS office or USDA-AAPHIS website. We do not warranty in any way that the pet will not be quarantined.

It is strongly recommended that you contact a professional transport company to assist with the export requirements for your pet's travels.

I hold Los Altos Veterinary Clinic and their Staff harmless for any errors or omissions related to requirement and documentation for my pet's travels.

Patient Information

Pet’s Name

Pet’s Date of Birth

Pet’s Microchip

To prepare for your upcoming travel, please provide the following information:

Do you already have a confirmed Date of Travel?

Yes

If yes, Date of Travel

If yes, Date of Arrival

If no, please provide an approximate date

Name of person traveling with the pet

Your current address

Please list arrival Country/State Address

Please list final destination address if different from above

Phone number you can be reached at during your stay

Your pet will be traveling in

Cabin

Cargo

Per the USDA, new travel regulations require a transit certificate for pets who have a layover in another country. For example, a pet flying from SFO to Paris with a layover in the UK will now be required to have BOTH a UK and Paris certificate filled out and endorsed. There is a charge for both certificates to be endorsed.

Does your flight have a layover?

Yes

If you answered yes, what country is your layover in?

Airport or Ocean Port you are departing from

Flight number

For pets travelling internationally who require the endorsed documents to be shipped back to you, what address would you like the certificate delivered to? (please note you will need to travel with these documents)

Policy Agreement

By signing this document you agree to all financial responsibilities associated with the above described policies. You also agree to a non refundable documentation/Prep fees collected at booking, will be directly applied to the Health Certificate processing appointment with us. If you cancel/miss scheduled Health Certificate appointment, collected fees will be forfeited.