International Health Certificate Questionnaire Name* First Last Email* Please note that preparing for travel to some countries can take months.Information your veterinarian needs to know before completing your pet's international health certificate:Where is your pet going (destination country)?*If you are traveling to the European Union, Norway, or Switzerland, who will be traveling with the pet? The owner A person authorized by the owner No one A pet transport company is transporting the pet What is the address in the destination country where your pet will be staying? Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What date is your pet leaving the United States?*When are you and your pet arriving in the destination country?*What type of pet will be traveling? (Check all that apply)* Dog Cat Ferret Pet Birds (other than chickens, doves, ducks, geese, grouse, guinea fowl, partridges, pea fowl, pheasants, pigeons, quail, swans, and turkeys) Rodent Hedgehog/tenrec Rabbit Reptile Amphibian Work with your veterinarian to answer the following questions. Please consult the APHIS pet travel website for this information.What type of health certificate is required?* A country-specific health certificate A generic pet certificate (ex. APHIS 7001) Is a microchip required?* Yes No If yes, is a specific type of microchip required? Yes No If yes, list the name*What vaccines does your destination country require? When must the vaccines be given?List vaccine names and when they must be givenNameWhen Must Be Given NOTE: You must have rabies vaccine certificates for all rabies vaccinations documented on the health certificate. These vaccination certificates will be required by the USDA at the time of health certificate endorsement. Are any laboratory tests required by your destination country?* Yes No If yes, what tests are required and when must these samples be collected? (Use table) (Note: The sample MUST be collected within the testing timeframe required by your destination country. Some tests may take a long time for the results to be returned and/or some countries require a waiting period after testing and before entry into the destination country.) List laboratory test names/diseases and when they must be given*NameWhen Must Be Given Are any treatments required by your destination country?* Yes No List treatments and when they must be given*NameWhen Must Be Given When must a physical exam of the pet(s) be performed prior to travel?Check with your airline to determine what requirements they have, 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. See the pet import section for details.Work with your veterinarian to complete all required paperwork. Please consult our APHIS pet travel website to access the required certificate/form, when available.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. Some offices offer to review health certificates prior to submission. Please work with your endorsing USDA office to determine your options for paperwork review and/or submission.Travel with your pet.