(530) 865-5634 |  4422 County Rd N, Orland, CA 95963 | M-F: 8:00am - 5:30pm

Mid-Valley Veterinary Hospital

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  • Home
  • About Us
    • Our Team
    • Photo Gallery
    • Community Support
    • Vision, Mission & Core Values
  • Clients
    • Pet Insurance
    • Resources
    • CareCredit
    • Forms
      • Anesthetic Procedure Consent Form
      • Boarding Drop-Off
      • Patient Drop-Off Examination Information
      • Dental Procedure Consent Form
      • Sedation Form
      • Feline Anesthetic Procedure Consent Form
      • History Form
      • Documents
      • Health Certificate Questionnaire
      • Food Animal CVI Questionnaire
    • Specials & Discounts
  • Services
    • Pet Services
    • Large Animal Services
    • Grooming / Training / Boarding
    • Hours
    • Prescriptions
  • Portal
    • Appointments
    • Request a Refill
  • Reviews
  • Contact
  • Online Store
  • Wellness Plans

Health Certificate Questionnaire

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Pet NamePet BreedPet BirthdayPet Age
  • Work with your veterinarian to answer the following questions. Please consult the APHIS pet travel website for this information.

    https://www.aphis.usda.gov/aphis/pet-travel
  • VaccineTiming 
  • 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.
  • 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 the APHIS pet travel website to access the required certificate/form, when available.

    Documents to bring to the appointment and to send to mail@mid-valleyvet.com

    • Vaccine records and rabies certificate
    • Airline-specific documents to be signed if applicable (Acclimation letter, Breed Verification)
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