If you would like to submit your travel information to our team online, please fill out this form below. A member of our team will get back to you within 5 business days to follow up.

*1.

Question - Required - Is your pet a current Angell Animal Medical Center patient?

Yes

This form is only available to existing Angell clients. If you are not an existing client, please refer to the USDA website for a list of other veterinarians.

Before filling out the rest of this form, have you looked into the travel requirements for your country? Information can be found here: https://tinyurl.com/USDA-gov-pet-travel

*2.

Question - Required - Which requirements have you already fulfilled?

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Question - Required - Which requirements do you still need to fulfill prior to travel?

(Maximum response 255 chars, approx. 5 rows of text)

Contact Information

*4.

Question - Required - Client First and Last Name:

(Maximum response 255 chars, approx. 5 rows of text)

*5.

Question - Required - Email:

(Maximum response 255 chars, approx. 5 rows of text)

*6.

Question - Required - Phone Number: (If your phone number is international, we will not be able to contact you by phone.)

*7.

Question - Required - Full Home Mailing Address:

(Maximum response 255 chars, approx. 5 rows of text)

Pet's Information

*8.

Question - Required - Pet's Name:

*9.

Question - Required - Species:

Cat

Dog

10.

Question - Not Required - Breed:

11.

Question - Not Required - Color:

(Maximum response 255 chars, approx. 5 rows of text)

*12.

Question - Required - Pet's Date of Birth:

(Maximum response 255 chars, approx. 5 rows of text)

Travel Details

*13.

Question - Required - Destination Country:

Estimated dates of departure and arrival (please account for time zone changes).

*14.

Question - Required - Departure (MM/DD/YYYY or approximate):

*15.

Question - Required - Arrival (MM/DD/YYYY or approximate):

*16.

Question - Required - Full address and phone number in the country of destination:

(Maximum response 255 chars, approx. 5 rows of text)

*17.

Question - Required - Do you have a layover?

Yes

No

Unknown

18.

Question - Not Required - If yes, where:

19.

Question - Not Required - Will you leave the airport during the layover? Please know that if you leave the airport, you may need a separate health certificate.

20.

Question - Not Required - Layover Duration:

*21.

Question - Required - I understand that Angell may not be able to book an appointment until they receive the above documents.

I understand.

22.

Question - Not Required - Microchip ID number:

23.

Question - Not Required - Date microchip was inserted:

*24.

Question - Required - Have you spoken with a representative at the USDA?

Yes

No

*25.

Question - Required - Have you spoken with a representative at the consulate/embassy for the country of destination?

Yes

No

*26.

Question - Required - I understand that any questions regarding government requirements should be directed to the USDA and the destination country's embassy or consulate.

I understand.

*27.

Question - Required - Have you checked the requirements of your airline?

Yes

No

We require all clients traveling internationally to please read and sign this International Travel Certificate Agreement.

*28.

Question - Required - By submitting this form, I agree to the terms and conditions set forth in the International Travel Health Certificate Agreement (see link above).

I Agree.

*29.

Question - Required - Sign your name:

*30.

Question - Required - Add the date you signed:

Month

Day

Year

Angell International Travel

Contact Information

Pet's Information

Travel Details

We require all clients traveling internationally to please read and sign this International Travel Certificate Agreement.