Request a Health Certificate at Countryside Vets

Request a Small Animal

Health Certificate

Fields marked with an * are required.

owner information

Name*

Are you a Countryside Client?*

Yes

Email Address*

Phone Number*

Street Address*

City*

State*Zip*

Country*

Destination

Consignee/Recipient*

Consignee/Recipient Phone Number*

Street Address*

City*

State*Zip*

Country*

Travel INfo

Date of Travel *

What is the purpose of the travel? *

Carrier Type

If Carrier Type is by air, will animal be carry on or cargo?

Pet INformation

Pet Name *

Age

Breed

Color

Official Pet ID

Gender *

Health Certificate Requirement/Proof of Rabies Vaccine - If the animal being shipped is 12 weeks or older (according to the date of travel, not the inspection date), then a rabies vaccine is required by most states. A copy of a rabies certificate must also be submitted or brought to the appointment if Countryside did not administer the current rabies vaccine. If the animal does not have a current rabies vaccine, the vaccine can be given at the time of the health certificate appointment.

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