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Health Certificate Request

Please complete the following form to begin the process of obtaining a Health Certificate for travel:

Owner Name*
Email*
Phone*
Are you a current client or a new client of the San Francisco SPCA?*
- Current Client
- New Client
Who is your regular veterinarian or pet hospital?
Your Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Pet Details
Pet's Name*

If multiple, please list all names.
Species*
- Cat
- Dog
Is your pet an Emotional Support Animal?
- Yes
- No
Has your pet ever bitten, attacked, or caused injury to someone?
- Yes
- No
Have you completed any required tests and/or had any travel prep done elsewhere?*
- Yes
- No
Please upload records (FAVN, Parasite treatment, etc).
Drop files here or

Max. file size: 50 MB.
Travel Details
Purpose of Travel*
Starting Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Destination*
What country will you travel to?*
Destination Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Departure Date
MM slash DD slash YYYY

Please note that appointments can only be booked up to 2 months in advance of travel.
Name of person flying with pet*
First Last
Cabin or Cargo?*
- Cabin
- Cargo
Airline*
Vaccine History
Has your dog received a DHPP vaccine?*
- Yes
- No / Not Sure
Date of last DHPP vaccine:
MM slash DD slash YYYY

(if known)
Has your dog received a Rabies vaccine?*
- Yes
- No / Not Sure
Date of last Rabies vaccine:
MM slash DD slash YYYY

(if known)
Has your dog received a Leptospirosis vaccine?*
- Yes
- No / Not Sure
Date of last Leptospirosis vaccine:
MM slash DD slash YYYY

(if known)
Has your dog received a Bordetella vaccine?*
- Yes
- No / Not Sure
Date of last Bordetella vaccine:
MM slash DD slash YYYY

(if known)
Has your dog received a Canine Influenza vaccine?*
- Yes
- No / Not Sure
Date of last Canine Influenza vaccine:
MM slash DD slash YYYY

(if known)
Has your cat received a FVRCP vaccine?
- Yes
- No / Not Sure
Date of last FVRCP vaccine:
MM slash DD slash YYYY

(if known)
Has your cat received a Rabies vaccine?
- Yes
- No / Not Sure
Date of last Rabies vaccine:
MM slash DD slash YYYY

(if known)
Has your cat received a Feline Leukemia vaccine?*
- Yes
- No / Not Sure
Date of last Feline Leukemia vaccine:
MM slash DD slash YYYY

(if known)
The SF SPCA is not responsible for ensuring that veterinary services, flights, and/or any other transportation arrangements are booked in accordance with requirements for travel.

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San Francisco Society for the Prevention of Cruelty to Animals is a 501 (c)(3) non profit organization. EIN: 94-0836580

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