Please fill out one form per pet.
Street Address
City
State
Zip Code
Email
Phone
Name of Company
Address
If you will be returning to Hawaii within 10 days using the same Health Certificate, we will need to administer an approved Flea and Tick prevention during the exam. We will also need current Rabies vaccine information and current FAVN Rabies Titer results.
Please bring your pet's Rabies vaccine certificate to the exam since this information will be needed for the Health Certificate unless we are giving a Rabies vaccine at the appointment.
Cat
Dog
(Mixed breed is not accepted as a breed on the travel documents; you must indicate the most dominant breed. Terrier breeds must specify the type of Terrier)
Female Intact
Female Spayed
Male Intact
Male Neutered
(we will scan your pet to verify microchip at the appointment)
Cargo
Cabin
(note only one airline name can be used)
Alaska Airlines
American Airlines
Delta Airlines
Hawaiian Airlines
United Airlines
Other