Travel Health Certificate Form

Traveling with your pet is made easier by our team.
Our veterinarians will issue pet health certificates that enable your pet to travel with you safely.

Get Started

Travel Health Certificate Form

Please fill out this form as completely and accurately as possible so we can issue your pet(s) health certificates. If this is an emergency, or if your pet needs urgent care, please call us at 812-477-8866 for a faster response.

In the spaces below, please fill out as much information as possible to get started on your Travel Health Certificate. This will help us in gathering the right information through the USDA pet travel website.

Please note: Any field with an asterisk (*) is required.

Owner Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Secondary Phone

Email *

Travel Information

Are you traveling outside of the United States? *

Yes
No

Destination Address

City

State

Country *

Date of Travel *

Departing Airport *

Name of Airline

Destination Airport *

Previous records from another vet *

Yes
No

Last time flea/tick and heartworm prevention given: *

What kind of flea/tick and heartworm prevention given *

Owner Signature *

Date *

Name

We proudly cater to the Indiana communities of
Mt. Vernon, Boonville, Newburgh, Princeton, and
Ft. Branch, as well as Henderson, Kentucky.

At Chateau Dog and Cat Hospital, we strive to offer our furry patients and their human families a safe, comfortable, soothing environment, and we look forward to continuing to provide you with the highest standard of veterinary care.

Travel Health Certificate Form

Travel Health Certificate Form

Owner Information

Travel Information

We proudly cater to the Indiana communities of
Mt. Vernon, Boonville, Newburgh, Princeton, and
Ft. Branch, as well as Henderson, Kentucky.

Request an Appointment Online!

Have a question?

Travel Health Certificate Form

Travel Health Certificate Form

Owner Information

Travel Information

We proudly cater to the Indiana communities ofMt. Vernon, Boonville, Newburgh, Princeton, andFt. Branch, as well as Henderson, Kentucky.

We proudly cater to the Indiana communities of
Mt. Vernon, Boonville, Newburgh, Princeton, and
Ft. Branch, as well as Henderson, Kentucky.