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 ownerA person authorized by the ownerNo oneA pet transport company is transporting the petWhat 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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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 AmphibianWork 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 certificateA generic pet certificate (ex. APHIS 7001)Is a microchip required?*YesNoIf yes, is a specific type of microchip required?YesNoIf 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?*YesNoIf 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?*YesNoList 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.