Additional Information and Owner Disclosure Form

Pet's Name:*

Additional Pet Names:

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If your pet(s) has received medical care from any other facility besides Animal Clinic of Grand Prairie, please email a copy of your pet(s)’s records to: acgpvets@gmail.com Please read the information below carefully so you are aware of any necessary requirements for you and your pet(s) to complete prior to travel. Because our veterinarian is licensed and accredited in the State of Texas, only pets whose travel is originating in the State of Texas may be issued a Health Certificate.

Resource Information for Domestic and International Health Certificate

When traveling with your pet(s), there may be animal health requirements specific to that destination. As soon as you know your travel details, contact your local veterinarian to assist with the pet travel process. Factors to consider may include meeting time frames for obtaining a health certificate, updating vaccinations, diagnostic testing, or administration of medications/treatments.

Your destination state or country may have specific health requirements that must be met before your pet(s) can enter the state or country. Since export requirements are determined by each state or country and can change frequently, every time you plan pet(s) travel you will need to verify the export requirements. Some countries and states (such as Hawaii, Japan, Australia, Turkey, United Arab Emirates, etc.) require a rabies titer (FAVN) test and a waiting period after the FAVN is submitted before the pet(s) may be imported to that state or country. The FAVN test takes from 3 to 8 weeks or more for results to return, please ensure you take this time frame into account when planning your travel. Please also note that airlines may have separate and additional requirements. Check with your airline to determine what requirements they may have, if any.

To learn the requirements for moving your pet(s) from your current location to another U.S. state or foreign country, please review the links listed below. If you have additional questions or need to determine what type of form will be accepted when the pet(s) travels, please contact the State Veterinarian’s office in the destination state or the United States Department of Agriculture.

USDA - Taking Your Pet to a Foreign Country (International Travel)

USDA - Taking Your Pet State to State (Interstate/Domestic Travel)

Hawaii - Animal Quarantine Information Page

Hawaii - Checklist 1 for pets flying into Honolulu Airport (HNL)

Hawaii - Checklist 2 for pets flying into Kona (KOA), Kahului (OGG), or Lihue (LIH) Airports

Starting August 1st, 2024, the United States is implementing more stringent requirements to bring dogs into the country.

If you are returning to the United States with your dog after traveling to a foreign country there are requirements that must be met in order for your dog to travel back to the United States. This includes dogs that are traveling to the United States from Mexico and Canada. These are independent of the requirements for your dog to travel to your destination country. The requirements you must meet are dependent on whether the country or countries you have visited in the past 6 months are considered high risk for dog rabies by the CDC. Please refer to the following link to determine if the country you are visiting is considered high risk:

CDC High-Risk Countries for Dog Rabies

High-Risk Countries: If you have traveled in a country that is considered a high-risk country for dog rabies by the CDC in the last 6 months, you will need to meet the following requirements for your dog to enter back into the United States:

Your dog is required to:

Be at least 6 months old.

Be healthy upon arrival.

Have an International Organization for Standardization (ISO)-compatible microchip.

The microchip must be implanted before the rabies vaccination is administered; rabies vaccinations that were administered before the microchip was placed are considered invalid for travel purposes into the United States.

If your microchip was placed by the breeder or the shelter, make sure the veterinarian has scanned and notated the microchip number before administering the rabies vaccine.

Have a Rabies certificate

The microchip number must be on the rabies certificate

If the rabies vaccine is your dog’s first vaccination, or if it is the first vaccination after the microchip is placed or scanned, it must be administered at least 28 days before the Certification of US-issued Rabies Vaccination form can be completed and the dog can travel.

Have a Certification of US-issued Rabies Vaccination form endorsed by the USDA.

This needs to be completed before leaving the United States and must be completed by the USDA-accredited veterinarian that administered the rabies vaccination or a USDA-accredited veterinarian at the practice where the vaccine was administered.

If your dog’s vaccinations are not administered at ACGP make sure there is a USDA-accredited veterinarian at the practice where the vaccines are given who will complete the Certification of US-issued Rabies Vaccination for you.

There is a limited exception during the transition period for dogs that have an export certificate that has been endorsed by the USDA, our veterinarian can advise you if your dog will qualify for this exception.

Have a CDC Dog Import Form receipt.

You will need a good photo of your dog’s face and body and the microchip number to complete this form

Arrive at the location listed on the CDC Dog Import Form.

If your dog’s rabies vaccination will expire while you are outside of the United States then you will have to have the rabies vaccine updated outside of the US and meet the requirements for foreign-vaccinated dogs.

If possible, it is recommended to have the rabies vaccination updated in the US before you travel.

Please review the following for more information about returning to the United States with your dog from a high-risk country:

CDC - From August 1, 2024, Onward: Entry Requirements for U.S.-Vaccinated Dogs from High-Risk Countries

Low-Risk or Dog Rabies Free Countries: If you have only traveled in a country that is considered a low-risk or dog rabies free country by the CDC in the last 6 months, you will need to meet the following requirements for your dog to enter back into the United States:

Your dog is required to:

Be at least 6 months old.

Be healthy upon arrival.

Have an International Organization for Standardization (ISO)-compatible microchip.

Have a CDC Dog Import Form receipt.

You will need a good photo of your dog’s face and body and the microchip number to complete this form

Arrive at the location listed on the CDC Dog Import Form

Please review the following for more information about returning to the United States with your dog from a low-risk or dog-rabies free country:

CDC - From August 1, 2024, Onward: Entry Requirements for Dogs from Dog-Rabies Free or Low-Risk Countries

Cats do not have to meet the same requirements as dogs to enter the United States, please see the following link:

CDC - Bringing an Animal into the U.S. - Cats

Our veterinarian requires all pets pass a negative intestinal parasite exam within one month of travel date and that adult dogs pass a negative heartworm test for all Health Certificates regardless of destination.

Destination Country:*

I am going to*

A high risk country

A low risk country

OWNER DISCLOSURE. PLEASE READ AND THOROUGHLY AND SIGN BELOW.

I have read and researched all of the above information in regards to what I need as an Owner to travel with or without the animal listed above either foreign or domestically.*

Initials:

I understand that if I transfer a portion of, or all, my pet(s)’s travel or care to another person for whatever reason, it is still my responsibility to communicate with my veterinarian and my care team as to my pet’s needs for the completion of the health certificate.*

Initials:

I have provided Animal Clinic of Grand Prairie with truthful and accurate information pertaining to the animal listed above as well as any and all details in regards to specific information relating to travel, final destination and recipient of the animal if applicable.*

Initials:

I understand that additional documentation may be required to return to the United States with the animal listed above and that this additional documentation may need to be obtained from a veterinarian or other authorized government official from the country of which the animal will be returning.

Initials:

I understand Animal Clinic of Grand Prairie is not responsible for completing documentation beyond the Health Certificate. I will not hold Animal Clinic of Grand Prairie responsible for any additional documentation required for the animal listed above to travel foreign or domestically (other than a Health Certificate) that I did not provide them with.*

Initials:

I understand that Health Certificates are submitted electronically to the United States Department of Agriculture (USDA), and for the animal listed above to travel internationally, I have allowed enough time for it to be endorsed and returned prior to the date of embarkation. I am aware that not all countries accept an electronically signed Health Certificates and assume responsibility for scheduling an appointment within a timeframe that allows return mail of a Health Certificate that must be ink signed and endorsed.*

Initials:

I accept that I am responsible for any and all fees for the USDA endorsement of a Health Certificate which is determined by the number of animals traveling/listed on the Health Certificate and any specific requirements and/or testing required by the country of destination prior to entry.*

Initials:

I have made the proper arrangements with the travel provider (airline, cargo ship, etc.) in advance and have determined what their requirements are in regards to the transportation of the animal listed above. I understand and accept that this is not the responsibility of Animal Clinic of Grand Prairie.*

Initials:

I understand that, if I have completed a large portion of the preliminary requirements through other clinics or veterinarians, our USDA accredited veterinarian will need to spend time going through the relevant records to determine which services and requirements will still be necessary to complete through Animal Clinic of Grand Prairie. Any administrative paperwork in excess of 1 hour will require a non-refundable consultation fee of $75 in order to compensate our trained staff for their time, even in the event that the certificate is not completed through our office.*

Initials:

I understand that, due to the preliminary and necessary paperwork and qualification processes involved, Animal Clinic of Grand Prairie requires a non-refundable administrative booking fee towards my appointment. This will go towards the cost of my appointment, but is not refundable in the event my appointment is missed, cancelled, or rescheduled within 48 hours of the scheduled appointment time. I also understand that if any of the requirements of my health certificate are not met due to my own planning, the airline requirements, or rescheduling outside of the control of ACGP, there will be no refund or credit for services rendered.*

Initials:

Additional Information and Owner Disclosure Form

Pet's Name:*

Additional Pet Names:

I am going to*

OWNER DISCLOSURE. PLEASE READ AND THOROUGHLY AND SIGN BELOW.

I have read and researched all of the above information in regards to what I need as an Owner to travel with or without the animal listed above either foreign or domestically.*

I understand that if I transfer a portion of, or all, my pet(s)’s travel or care to another person for whatever reason, it is still my responsibility to communicate with my veterinarian and my care team as to my pet’s needs for the completion of the health certificate.*

I have provided Animal Clinic of Grand Prairie with truthful and accurate information pertaining to the animal listed above as well as any and all details in regards to specific information relating to travel, final destination and recipient of the animal if applicable.*

I understand that additional documentation may be required to return to the United States with the animal listed above and that this additional documentation may need to be obtained from a veterinarian or other authorized government official from the country of which the animal will be returning.

I accept that I am responsible for any and all fees for the USDA endorsement of a Health Certificate which is determined by the number of animals traveling/listed on the Health Certificate and any specific requirements and/or testing required by the country of destination prior to entry.*

Type your full name as a signature release

Signature*