Pawsitive Pet Health Certificates New Client Questionnaire

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Only one questionnaire per family, please.

We know some of these details may still be unknown or subject to change based on your travel plans, but please complete this form as fully and accurately as possible.

Email info@pawsitivepethealthcertificates.com with any questions. We will be in touch with your custom quote within 1 business day!

First Name: *

Last Name: *

Email Address: *

You will receive a custom quote to this email address within 24 business hours. Please check your Spam folder!

Telephone Number: *

How did you hear about us? *

My Vet referred me - please add the name of the veterinary clinic who referred you under "Other"

Social Media

Internet/Google

A fellow pet parent

Other:

Required

Name and Phone Number of your USDA Accredited Vet, if different from above:

We can assist with finding a USDA Accredited Vet near you, if needed!

Please list any Vet Clinics your pet has seen in the last 3 years for their rabies and general vaccines.:

Ideal Pet Travel Date: *

PPHC will determine your pet's earliest possible travel date based on their vaccine status and any mandatory waiting periods before pets can enter the country after any required testing and treatments.

YYYY

Are you traveling internationally or domestically (within the US & US territories)? *

International

Domestic

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