Interstate Health Certificate Form

Please fill out the following PRIOR to scheduling an appointment.

State to which the pet is traveling.*
Date when are they leaving the state*
Date Format: MM slash DD slash YYYY
What are the means of transportation?*
Owner details
Owners Name*
First Last
Name of person traveling with the pet if not the owner.
First Last
Owner Phone
Owner Email
Pet information
Pet Name*
Pet Species*
Pet Breed*
Pet Sex
Pets home address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Destination address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number you can be reached at your destination*
Microchip number
Date of implantation
Date Format: MM slash DD slash YYYY
Signed rabies certificate
Drop files here or
Signed rabies certificate with date of last vaccination, name of the manufacturer, batch (serial) number, and date of when next rabies booster is due and doctor’s signature – documents needed on the day of visit. (Not required to submit this form)
Agreement*
I agree to the Interstate Certificate Policy.
Agreement: I understand that preparing for traveling can take months.

I understand that it is my responsibility to know the requirements and collect proper documentation for my pet’s travel.

I also understand that I cannot hold Huffard Animal Hospital or its employees accountable for any problems or difficulties processing said paperwork that may arise from processing, shipping or other situations, and that once the paperwork has left Huffard Animal Hospital -shipping and process times are no longer under the control of Huffard Animal Hospital.

By signing I am also accepting that there is a fee at the time of the appointment for a physical examination and the health certificate. Additional fees may occur. Any additional vaccinations, microchip placement, or lab tests that need to be done prior to my pet traveling overseas will be presented and discussed.

Disclaimer: Once this form and the required documents are received, one of our staff members will reach out to schedule an appointment.

For Domestic Travel (Within the USA)
Many states require an up-to-date Certificate of Veterinary Inspection from a licensed, accredited veterinarian when traveling. Your pet must be examined by a veterinarian in order for a health certificate to be issued. This certificate indicates that your pet is healthy for travel and that he or she is not showing signs of disease. This certificate is required by most airlines in order for your pet to travel within the continental United States.

We strongly recommend contacting your individual airline to understand their specific travel requirements. Oftentimes airlines require that your pet be examined by a veterinarian and a health certificate issued within 10 days of travel. Check with your airline to ensure that your paperwork will be in order (THIS IS NOT OUR RESPONSIBILITY). If necessary we are able to add a certificate of acclimation to your pet’s travel papers. This certificate is written at the discretion of our veterinarians and is based upon our vet’s assessment of your pet’s health allowing him or her to travel above or below certain temperatures.

Interstate Health Certificate Form

Owner details

Pet information

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