Pet travel health certificate questionnaire

Tell us about your trip so our team can prepare for your pet’s domestic or international travel consultation.

Before you start

Submit at least 48 hours before your veterinary appointment. Some destinations require weeks or months of preparation. Contact us early; submitting this form does not book an appointment or guarantee a certificate or travel approval.

You or your travel agent must confirm the destination and carrier requirements. If plans change after submission, send the updated details to the front desk in writing.

Have your itinerary, destination address and pet records handy. Use one questionnaire for pets sharing the same trip and contacts. For different itineraries, submit separate forms.

Required fields are marked with an asterisk (*). Leave unknown record dates blank and explain in the notes.

1 Your trip

Destination country or U.S. state

Type of transfer

Veterinary appointment dateLeave blank if your appointment has not been scheduled.

Who accompanies your pet?

Name of accompanying person or transport companyRequired if someone accompanies or transports your pet.

2 Owner and destination contacts

Sender / owner full name

Your email address

Sender / owner phone number

Full origin address Include street, city, state or province, postal code and country.

Full name of person receiving your pet

Destination contact phone number

Full destination address(es) Include street, city, state or province, postal code and country. List additional contacts here if needed.

3 Travel arrangements

How is your pet traveling?

Layovers or cruise stopsFor each stop, list the country or state and local arrival/departure dates. For a cruise, say if your pet will remain on board.

Departure date

Departure time (local)

Departure airport, port or station

Airline, cruise or transport company

Flight or service number

Arrival date (local)

Arrival time (local)

Arrival airport, port or station

Travel details or information still to be confirmedInclude any missing itinerary details. Do not include passport or government ID numbers.

4 Your pets

Add each pet traveling with you. Species quantities are calculated from these entries.

Pet 1

Pet name

Species

Other species — please specify

Sex

Does this pet have a passport for the destination?

Date of birth

Microchip numberCopy the number exactly from the record. Leave blank if unknown or not implanted.

Microchip implantation date

Most recent rabies vaccination date

Previous rabies vaccination date

Pet record notesExplain any unknown dates, missing records or information that does not apply. Do not guess.

1 pet entry

Up to 10 pets per questionnaire. For larger groups, call (949) 210-9100.

5. Documents to prepare

Arrange with our front desk to send the following documents in advance, and bring originals to your appointment. This list is not exhaustive; your destination may require additional documents.

Sender’s identification card
Pet passport(s), if any
Previous health certificate(s), if any
Last two rabies vaccination certificates
Medical records, if your pet is new to Spectrum
Microchip implantation certificate / barcode
Flight or other travel details
Additional documents required by the destination authorities

This form does not accept document uploads. Contact frontdesk@spectrumpethospital.com for document-delivery instructions. Do not enter government ID or passport numbers here.

Need help finding a pet travel agent?

Ask our front desk about the pet travel agent listed in the hospital’s questionnaire and help coordinating your travel preparations.

6 Acknowledgment

I have checked that the information is accurate and current. I will notify the hospital in writing of any changes; changes may require another endorsement and additional charges.

I understand that I or my pet travel agent must verify the destination and carrier requirements, including exams, vaccinations and documents.

I will arrange advance delivery of the requested documents with the front desk and bring the originals to the appointment.

I authorize sending this questionnaire to Spectrum Pet Hospital’s front desk through its website email service to prepare for my pet’s travel consultation.

Signature — type your full name Typing your name confirms the acknowledgments above.

Date

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