Travel Questionnaire

Are you a current client?

Yes No**

**If no, please also fill out the "New Client Registration" form

Client Name

Pet(s) Name

Best Phone Number

Email Address

Current Physical Address

Destination Physical Address

Destination Country/State/Territory

What is your anticipated departure date?

What is your anticipated return date?

Which option best describes your travel plans?

Domestic travel within the United States (excluding Hawaii) International or Hawaii travel with plans to return to the United States Permanent export / no planned return Return date not yet determined

What is your mode of transportation?

Airplane Ground transportation Other

If other, please describe

If flying, please provide your flight details, including airline, departure and arrival airports, any connecting airports or transit countries, and flight information (if available).

How will your pet travel?

In the cabin As checked baggage As cargo Other / not yet determined

Who will be traveling with your pet?

Does your pet have a microchip?

Yes No Unsure

Microchip Number

Has your pet received vaccinations from a veterinarian?

Yes No Unsure

Please provide previous vaccination records and the name of the veterinary practice where your pet received care. You can email records to info@arnoldvethospital.com or provide the name of your previous vet for us to reach out to.

Name of Previous Vet

Does your pet have any current medical conditions or take any medications?

Have you already obtained any travel permits, laboratory test results such as a FAVN rabies titer, or other required documentation?

Have you contacted your airline regarding its pet travel requirements?

Yes No Not applicable

Is there any additional information about your travel plans that our team should know?

Client Acknowledgment

I understand that travel documentation requirements vary by destination and may change based on current import/export regulations. Additional examinations, vaccinations, laboratory testing, treatments, government endorsements, and shipping fees may be necessary. I understand that I am responsible for providing accurate travel information, previous veterinary records, and airline-specific documentation in a timely manner.

Signature

Date

Client Acknowledgment

$75 Off Your Pet’s First Wellness Exam