International Travel Form – Long Island City Veterinary Center

What location would you like to visit?*

Long Island City Veterinary Center
East Side Animal Hospital
The Veterinarians at Court Square

Questionnaire for Pet International Health Certificate

Preparing for international travel can take time depending on the destination and its requirements. Plan in advance. Fill out the questionnaire below. The information you provide will help us complete your pet’s international health certificate.

Pet Owner*

First Last

Pet Name*

First

Where are you and your pet going? (Destination Country)*

Does your pet have a passport?*

Yes
No

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Who will be traveling with the pet?*

The Owner | No One | a Pet transport company | Other

Name of person traveling with pet

First Last

Address of where you will be staying

Street Address City State / Province / Region Country

Date of travel

MM

DD

YYYY

Flight Information

for example: Delta HL657

Telephone

International Telephone (if any)

Leaving from which airport?

Pet Name

First

Sex

Male
Male (neutured)
Female
Female (spayed)

Age

Does your pet have a microchip?

Yes
No

If Yes, what is the number?

Name of Heartworm Medication your pet is on and date it was received:

Name of Flea and Tick Medication your pet is on and date it was received:

Date of last fecal test

MM

DD

YYYY

Results of last fecal test

NOTE: Depends on the age of your pet a RABIES VACCINATION needed to be up to date, if not your pet needs a Rabies Vaccine 21 days prior to your trip. If your pet needs a Microchip your pet will also need a Rabies Vaccination 21 days prior to your trip.

In general there are two methods of acquiring endorsement of a health certificate: 1. Mailing (UPS, FedEx,) we will give you the address to mail in the documents OR 2. In-person (appointment@ JFK Location)we will give you the information to set up an appointment. Please let us know which one you will be doing in order to better help you with your travel documents.

Please Note: Check with your airline to determine what requirements they require, if any. Airlines may have separate and additional requirements from those of your destination country. If you intend to bring your pet back into the U.S., there may be certain re-entry requirements, depending on where you traveled. You should plan for them now. After your health certificate has been completed, signed, and dated by your veterinarian, most countries require that international health certificates be submitted to a USDA APHIS Veterinary Services office for endorsement. Please make sure to set up an appointment with your USDA office as soon as you can.