General Health and Fit-to-Travel Certificate
Examination Details
- Date of examination
- Time of examination
Owner's Details
- First name
- Last name
- Address
- Phone
Patient's Details
- Name
- DOB (age)
- Microchip
- Weight (kg)
- Gender
- Species
- Breed
- Colour
Examination Findings
- Temperature (°C)
- Heart rate (bpm)
- Respiratory rate (breaths/min)
- Body Condition Score (1-9)
- Physical examination findings
Intended Travel
- Purpose
- Planned travel date
- Destination
- At the time of examination, the animal is free from clinical signs of infectious or contagious disease
- In my opinion, the animal is fit to undertake the intended travel described above
Veterinary Certification
I, the undersigned veterinary practitioner, examined the animal described above on the date shown and certify that the findings and opinions recorded on this certificate are true and accurate at the time of examination. This certificate reflects the animal's health at the time of examination only; carriers, boarding facilities and receiving parties may set their own validity windows and requirements.
- Veterinarian name
- Registration number
- Practice name and address
- Phone
- Date signed
Veterinarian signature
Clinic stamp
