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About Us
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Contact Us
Online Pharmacy
Appointment

Health Certificate Travel Information Form

We understand that travel can be stressful, let us help you. Please find our travel preparation recommendations and information form below.

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Health Certificate Travel Information Form

We understand that traveling with your pet can be very stressful, we are here to help with preparation and arming you with the tools you need. Please understand that while we are well-versed with the process of domestic and international health certificates, we need your help to do some preliminary research depending on your destination(s).

Steps for Travel

Please visit the USDA APHIS pet travel website: https://www.aphis.usda.gov/aphis/pet-travel.
Scroll down and select either International travel OR Interstate U.S. travel.
Especially if traveling internationally (but domestic as well), please create a list of what is required for your pet prior to you trip (including vaccinations, testing, oral medications and types of health certificates or forms). It is your responsibility to arrive with this list at your appointment.
Please contact us as soon as you have planned your trip to discuss and schedule appropriate appointments prior to your departure. Scotts Valley Veterinary clinic will assist in creating all online or paper health certificates, provide copies as well as submit them electronically. We will also provide all recommended vaccinations, oral medications and required blood testing. There will be associated costs for each type of appointment needed, please know these appointments/certificates can require numerous hours of work/preparation on our end and the charge for each appointment will be reflective of that time.
Once you have reviewed all the requirements, please fill out this form to help us start and create a health certificate for your travel. PLEASE TYPE EVERYTHING ACCURATELY. WHAT IS TYPED ON THIS FORM WILL BE TRANSFERRED EXACTLY AS ENTERED ONTO THE OFFICIAL HEALTH CERTIFICATE.

Health Certificate Travel Information Form

Name(Required)

First Last

Email(Required)

Owner's Information

Name of Person Responsible for Pet(s) During Travel

First Name(Required)

Last Name(Required)

Name of Owner (if different from person traveling with pet(s))

First Name

Last Name

Email Address

Phone Number (in the United States)(Required)

Address in the United States (California)(Required)

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

Mailing Address if different than above

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

What country or U.S. state will you be traveling to?(Required)

Date of arrival to foreign country/U.S. state : MM/DD/YYYY(Required)

Type of Admission(Required)

Permanent

Temporary

Other

Means of Admission(Required)

Airplane

Boat

Auto

Airline you will be flying with (if applicable)

PLEASE REVIEW YOUR AIRLINE'S REQUIREMENTS FOR TRAVELING WITH A PET, THEY MAY REQUIRE ADDITIONAL FORMS THAN THE USDA (ex. temperature acclimation form, additional health certificates etc)

U.S. Port Departure (i.e. airport/seaport)(Required)

Foreign Port of Embarkment/Border Crossing(Required)

Where are you arriving (i.e. airport/Seaport)(Required)

New Permanent or Temporary Address in foreign country/Other U.S. state (Not California)(Required)

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

Phone Number in Foreign Country (if different from in U.S.)(Required)

Number of Pets Traveling (if more than 5, please review USDA requirements)

General Pet Information

Pet #1 Name(Required)

Birthdate(Required)

Species (Canine/Feline)(Required)

Color/Markings

Breed(Required)

Sex(Required)

Female

Spayed Female

Male

Neutered Male

Do you have a second pet?(Required)

Yes

Pet #2 Name(Required)

Birthdate(Required)

Species (Canine/Feline)(Required)

Color/Markings

Breed(Required)

Sex(Required)

Female

Spayed Female

Male

Neutered Male

Do you have a third pet?(Required)

Yes

Pet #3 Name(Required)

Birthdate(Required)

Species (Canine/Feline)(Required)

Breed(Required)

Color/Markings

Sex(Required)

Female

Spayed Female

Male

Neutered Male

Do you have a fourth pet?(Required)

Yes

Pet #4 Name(Required)

Birthdate(Required)

Species (Canine/Feline)(Required)

Breed(Required)

Color/Markings

Sex(Required)

Female

Spayed Female

Male

Neutered Male

Do you have a fifth pet?(Required)

Yes

Pet #5 Name(Required)

Birthdate(Required)

Species (Canine/Feline)(Required)

Breed(Required)

Color/Markings

Sex(Required)

Female

Spayed Female

Male

Neutered Male

Please fill out information below regarding your pet(s) microchip and rabies vaccination history. If you pet was given a microchip or if your current rabies vaccination was performed at another veterinary hospital, please make sure to email us a copy of this information. If your pet needed a rabies antibody test (FAVN) for export and this test was performed at another veterinary hospital please email that as well.

Email: scottsvalleyvet@gmail.com (Type in the Subject line: Health Certificate Information)

Pet #1 Is this pet Microchipped?(Required)

Yes

Does this pet have a current Rabies Vaccine?(Required)

Yes

Does this pet need a rabies titer (FAVN) prior to travel?(Required)

Yes

When was FAVN Completed?(Required)

Pet #2 Is this pet Microchipped?(Required)

Yes

Does this pet have a current Rabies Vaccine?(Required)

Yes

Does this pet need a rabies titer (FAVN) prior to travel?(Required)

Yes

When was FAVN Completed?(Required)

Pet #3 Is this pet Microchipped?(Required)

Yes

Does this pet have a current Rabies Vaccine(Required)

Yes

Does this pet need a rabies titer (FAVN) prior to travel?(Required)

Yes

When was FAVN Completed?(Required)

Pet #4 Is this pet Microchipped?(Required)

Yes

Does this pet have a current Rabies Vaccine?(Required)

Yes

Does this pet need a rabies titer (FAVN) prior to travel?(Required)

Yes

When was FAVN Completed?(Required)

Pet #5 Is this pet Microchipped?(Required)

Yes

Does this pet have a current Rabies Vaccine?(Required)

Yes

Does this pet need a rabies titer (FAVN) prior to travel?(Required)

Yes

When was FAVN Completed?(Required)

Appointment for Health Certificate

Pet #1 Date Health Certificate is Scheduled with Scotts Valley Veterinary Clinic(Required)

MM slash DD slash YYYY

Pet #1 Time Health Certificate is Scheduled with Scotts Valley Veterinary Clinic

Hours

Minutes

AM/PM

Pet #2 Date Health Certificate is Scheduled with Scotts Valley Veterinary Clinic(Required)

MM slash DD slash YYYY

Pet #2 Time Health Certificate is Scheduled with Scotts Valley Veterinary Clinic

Hours

Minutes

AM/PM

Pet #3 Date Health Certificate is Scheduled with Scotts Valley Veterinary Clinic(Required)

MM slash DD slash YYYY

Pet #3 Time Health Certificate is Scheduled with Scotts Valley Veterinary Clinic

Hours

Minutes

AM/PM

Pet #4 Date Health Certificate is Scheduled with Scotts Valley Veterinary Clinic(Required)

MM slash DD slash YYYY

Pet #4 Time Health Certificate is Scheduled with Scotts Valley Veterinary Clinic

Hours

Minutes

AM/PM

Pet #5 Date Health Certificate is Scheduled with Scotts Valley Veterinary Clinic(Required)

MM slash DD slash YYYY

Pet #5 Time Health Certificate is Scheduled with Scotts Valley Veterinary Clinic

Hours

Minutes

AM/PM

Are there other appointments you will need scheduled other than this health certificate appointment(Required)

Any additional information you would like us to know…. (example: Emergency phone numbers, health concerns, other names you would like on the health certificate) Specify clearly

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

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Location

4257 Scotts Valley Drive
Scotts Valley, CA 95066

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Contact Information

E: scottsvalleyvet@gmail.com

P: (831) 438-2600

F: (831) 438-0169

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Hours

Mon – Fri: 7:30 am – 5:00 pm

Sat – Sun: Closed

Proudly Serving the Following Areas

Scotts Valley
Felton
Boulder Creek
Santa Cruz
Aptos
Watsonville
Los Gatos

Health Certificate Travel Information Form

Health Certificate Travel Information Form

Health Certificate Travel Information Form

Owner's Information

Number of Pets Traveling (if more than 5, please review USDA requirements)

Appointment for Health Certificate

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Location

Contact Information

Hours

Proudly Serving the Following Areas

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