Requirements for pet travel, including required exams, testing, treatments, vaccinations, and/or paperwork, are set by the destination country and vary. Most international travel will require the following:
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Certificate of Veterinary Inspection (CVI)
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Rabies certificate
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Health Certificate (Destination country)
Health certificates are issued (completed, signed, and dated) by a local USDA-Accredited veterinarian who examines the pet and performs (or verifies) all required testing, vaccinations, or treatments. Many destination countries require health certificates to be endorsed (counter-signed and embossed/ stamped) by APHIS after they have been issued by a USDA-Accredited. veterinarian.
Guidance for international pet travel can be found on the APHIS Pet Travel Website: https://www.aphis.usda.gov/aphis/pet-travel.