Travel Form | Central Veterinary Hospital

Pet Travel Information Form

Please complete this form to help us prepare for your pet’s upcoming travel.

New World Screwworm Notice

Effective immediately, travel to Mexico with dogs is prohibited following the detection of New World Screwworm. Dogs re-entering the United States must meet APHIS screwworm freedom certification requirements.

For questions or the latest updates, please give us a call.

Owner Information

Name(Required)

First Last

as it appears on passport

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Visiting Location(Required)

Downtown (Clinch Ave.)

Northeast (Mill Rd.)

Choto (S. Northshore)

Pet Information

Name(Required)

Full

Microchip Number

Species(Required)

Sex(Required)

Breed

Age

Weight

Color

Special Needs, Medical Conditions(Required)

Pet Vaccination Status

Vaccine History(Required)

Vaccine Name

Date Administered

Expiration Date

Travel Details

Traveller's Name(Required)

First Last

Departure Date(Required)

Airline(Required)

Departure Airport(Required)

Arrival Airport(Required)

Layovers

if any

Destination Information

Destination Address(Required)

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

Contact Person at Destination(Required)

First Last

Email(Required)

Phone(Required)

Acknowledgement

Signature(Required)

Pertinent Documents

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 64 MB.

i.e. medical records, forms, etc.

Disclaimer

Central Veterinary Hospital and its staff are not responsible for flight delays, cancellations, schedule changes, or any travel documents other than the USDA Health Certificate. All travel is subject to USDA regulations and approval. Once all required documents are submitted, we are dependent on the USDA’s processing and endorsement timeline.

Date(Required)

Pet Travel Information Form

Owner Information

Pet Information

Pet Vaccination Status

Travel Details

Destination Information

Acknowledgement

Disclaimer

After Hours

Urgent Care