Please write N/A if not applicable or unknown.

Thank you for entrusting ABC Veterinary Hospital Pacific Beach with your pet travel needs. Our skilled and experienced veterinarians are USDA accredited for domestic and international pet travel. We have proudly assisted over 500 pets reach their travel destinations! Please carefully read the important information below Information contained within the Health Certificate Intake Form below will be entered into your pet's official health certificate and submitted to the US Department of Agriculture, please take time to ensure the information is complete and accurate. ABC Veterinary Hospital Pacific Beach is not liable for incurred fees and/or declined entry into destinations due to errors within the Health Certificate Intake Form. Please note, completion of this form does not secure your appointment booking. After pressing "Submit", your form will be automatically sent to our Pet Travel Specialist. Once received, you will be contacted by our Pet Travel Specialist to book your appointment. For all international destinations, we require a minimum of 30 days notice prior to travel. All international health certificate appointments are subject to approval by our Pet Travel Specialist prior to booking. Note: If you require urgent assistance for immediate upcoming travel within 30 days or less, please complete the form below and contact us at 858-270-4120 and request to speak with our Pet Travel Specialist. Please note, your travel request may not be accommodated due to timeline restrictions. Please check the box indicating that you accept the above requirements. Thank you and we look forward to serving your pet travel needs! *

Please check this box stating you have read the above statement and understand the importance of inputting the correct information.

ABC Veterinary Hospital Pacific Beach does not assist in the process of return for your pet, you must do your research with the USDA or call a veterinarian at your designation to gain information on how your pet can return to the US. Lengths of travel, layovers and destination may vary with their requirements for return. We strongly urge you to reach out to the USDA Pet Travel, a Veterinarian at your destination and your airline for more information on what may be required. *

Please check this box stating you have read the above statement and understand.

Owner Information

Legal Name of Traveler *

First

Last

Traveler Email *

Address in the United States *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number in the United States *

Legal Name of Traveler Picking Pet Up (if the same as person boarding plane, please list out again): *

Address at your destination *

Phone Number at your destination (if in another country please put the # that works): *

Date of Travel (Date leaving the United States) *

Date of arrival to destination *

Travel/Flight Information

Method of travel *

Airplane
Car
Boat
Train

Flight Information (Airline Name, Flight #) *

City/State/Country you are flying out of *

Do you have a layover? *

Yes
No

If yes, please list the layover City/Country and Duration of Layover:

If your pet traveling in Cabin or Cargo?

Cabin
Cargo (*Sedative medications will not be prescribed to patients traveling in the cargo compartment)

Purpose of Animal Movement *

Pleasure (Traveling for Fun)
Relocation (Permanent Import)

Pet(s) Information (if multiple please fill out separate intake forms)

Species *

Feline
Canine

Pet Name *

Sex of Pet: *

Male, Intact
Male, Neutered
Female, Intact
Female, Spayed

Pets DOB *

Breed/Color *

Microchip # (if known):

*your pet will be scanned for a microchip during today's visit

Date of placement of Microchip

*Microchip must be implanted prior to the first Rabies Vaccination

Does your pet have a pet passport? *This may alter your pets required paperwork* *

Yes
No

Dates of most TWO most recent Rabies Vaccinations: *

*If your pet did not receive a Rabies Vaccination from our facility, we need you to email the original copy(s) of the rabies vaccination certificate. The Rabies Certificate must include; your pets microchip #, administering veterinarians signature and all of the rabies vaccine information (lot #, manufacturer, vaccine name, vial expiration). Please email to [email protected].

Date of Vaccination #1 *

Name and Manufacturer of Rabies Vaccination #1 *

Date of Vaccination #2 *

Name and Manufacturer of Rabies Vaccination #2 *

We suggest you do your own research as well, here is a website you can input your information to that will help provide you with some guidance before we reach out to you for the Health Certificate Consultation. Website link here.

Upload l Records/Vaccination/Testing Documents

Click or drag files to this area to upload. You can upload up to 10 files.

Client Electronic Signature *

Clear Signature

Date *

Health CertificateHealth Certificate Intake Form

Owner Information

Travel/Flight Information

Pet(s) Information (if multiple please fill out separate intake forms)

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