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Dog Health Certificate Form Template

Streamline Your Dog's Health Documentation with Ease

Getting your dog certified healthy can be a hassle, especially when you're preparing for travel or boarding. This Dog Health Certificate Form Template is designed for pet owners and veterinarians who need a clear, accessible way to document your dog's health status and vaccination records. With this template, you can easily create a printable veterinary health certificate form that ensures compliance for travel, helps maintain a clear dog health record, and offers peace of mind during vet visits, all while being user-friendly and WCAG-aligned. Try out the live template to simplify your paperwork!

Use this Template (FREE) Live Preview
Owner full name
Owner email
Owner phone number
Veterinarian or clinic name
Clinic phone number
Dog name
Date of birth (if known)
Breed
Sex
Male
Female
Unknown
Microchip number (if applicable)
Weight
Spay/neuter status
Intact
Spayed/Neutered
Unknown
Current medications or supplements
Known allergies
Any illness, surgery, or injury in the last 30 days?
Yes
No
Date of examination
General appearance
Normal
Abnormal
Not examined
Eyes
Normal
Abnormal
Not examined
Respiratory
Normal
Abnormal
Not examined
Body temperature
Skin and coat
Normal
Abnormal
Not examined
Rabies vaccination status
Current
Not current
Not applicable
Rabies vaccination date
Rabies vaccination valid through
Core vaccine (DA2PP) status
Current
Not current
Not applicable
Heartworm test result
Negative
Positive
Not performed
Unknown
The dog is free from signs of infectious disease at the time of examination
True
False
The dog is fit for travel as of the examination date
True
False
Owner typed name (acts as signature)
Date signed by owner
Veterinarian typed name (acts as signature)
Date signed by veterinarian
Owner consent to examination and release of this certificate to relevant authorities if required
Yes
No
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paper art illustration depicting a dog health certificate form with elements related to dog care and medical details

When to use this form

Use this template when you need a vet-signed record to show vaccines, exam dates, and fitness to travel or board. It is essential for airline trips, crossing state lines, moving, or enrolling in daycare. Shelters and sellers use it during adoption or sale so new owners start with clear medical history. To keep details accurate, you can attach your Pet information form. If you are rehoming, pair the certificate with a Transfer of dog ownership form so records follow the dog. Some classes may also ask for proof of shots alongside your Dog training form. The result: fewer delays, safer travel, and a complete, professional file.

Must Ask Dog Health Certificate Questions

  1. What are the dog's full identification details (name, breed, age, sex, color) and microchip or tattoo number?

    This ties the certificate to the correct animal and prevents mix-ups at check-in or during a sale. Unique IDs make it easy to match your dog to vaccination and test records.

  2. Which vaccinations are current, with dates, product names, and lot numbers (e.g., rabies, distemper/parvo)?

    Many states, airlines, and boarding facilities require specific vaccines with valid dates. Recording product and lot numbers supports traceability and speeds your approval.

  3. What parasite prevention and disease test results are documented, including heartworm status and recent fecal exam?

    These details show your dog is not carrying common parasites or infectious risks. Clear results help your vet advise on next steps if travel is delayed.

  4. Has a licensed veterinarian examined the dog within the required timeframe and found no signs of illness?

    A time-bound exam (often 10 days for air travel) is a common rule and protects animal welfare. Documenting fitness to travel reduces your risk of denied boarding or quarantine.

  5. Who is the legal owner, what is the destination and travel method, and are there any import rules to meet?

    Linking owner responsibility with route details ensures the certificate matches the right rules. If ownership needs confirmation, attach an Ownership declaration form.

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