Please check in 15 minutes prior to your appointmentVaccinations - Rabies vaccines are required for travel and the currency period is determined by the state of destination. All dogs and cats risk exposure to other species specific diseases, to include Leptospirosis (canine) and Leukemia (feline). Vaccinations to protect against other diseases are not mandatory, but we highly recommend keeping them current. We don’t make the rules…all health certificates are valid for 30 days from the issue date; however, some airlines require that they be completed within 10 days of travel. Every state and foreign country has its own rules and regulations for animal import and export according to species. If you are not sure about the rules and/or regulations for your destination, please check with a receptionist prior to completing this form. Local Address Destination Address Owner or Shipper’s Name* Owner or Receiver’s Name* Departure Physical Address* Destination Physical Address* City/State/ZipCode* City/State/ZipCode* Local Phone Number* Destination Phone Number* New or Existing Client?* New Client Existing Client Email* Need to schedule an appointment* Yes No If yes, please enter date and time you would like to request. (subject to availability). Please do not choose a Saturday or Sunday, as that will not be able to be accommodated.Appointment Date* MM slash DD slash YYYY Appointment Time : Hours Minutes AM PM AM/PM Pet Information*NameSpeciesBreedSexAgeColor Travel Information Transportation method* Airplane Auto Ferry Which airline? Reason for Travel?* Vacation Permanent Move Would you like a copy of your pet’s records?* Yes No Date* MM slash DD slash YYYY Owner/Shipper Signature:*