International Travel Form

Country to which the patient is traveling.

What is the date of departure?

What is the date of arrival to your destination? (if different from your date of departure)

What is the anticipated duration of your trip?

Will you be moving to your destination?

Name of Owner (if different from who is traveling with pet, please write in as well and specify)

First

Last

Phone Number

Pet Name

Species

Breed

Sex

Current Address

Street

Current Address

City

Current Address

State

Current Address

Zip Code

Destination Address

Street

Destination Address

City

aware, date Will

Destination Address

State/Province/Region

Destination Address

Zip/Postal Code

Phone number you can be reached at your destination

Microchip Number

Date of Implantation

Provide previous animal hospital to contact for medical records and previous vaccine history PRIOR to visit.

We strongly recommend working with a pet travel agency to assist in guiding you through the steps and travel requirements of your travel destination. Please be aware, if you are traveling to Australia, New Zealand, United Emirates, or United Kingdom (commercial) we require that you work with a pet travel agency. We recommend Pacific Pet Transport (https://www.pacpet.com/)

I have read and understand

Additional Travel Information

Provide name and contact information of pet travel agency, other destinations if multiple countries are being traveled to, etc.

Once this form and required documentation is received, one of our staff members will reach out to schedule an appointment.