IHC Policy Consent Form

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As there is a significant amount of preparation work and time devoted to international health certificate appointments this form is required to be completed prior to any IHC appointment scheduling to ensure your understanding and agreement of our policies.

If you are traveling with multiple pets, only one consent form is required.

Client Information

First Name*

Last Name*

Email*

Phone*

Pet or Pet's Names*

I understand the USDA has issued the following statement (Companion Lake Zurich is able to monitor the status within the USDA system but direct status updates from the USDA are not available):

In-person endorsement services are not available at this time.

Our offices are closed for all federal holidays listed on the Office of Personnel Management’s webpage.

We are working to endorse health certificates received by shipping and VEHCS as quickly as possible. As always, errors or problems with your submission will result in a delay in endoresement. We will contact the owner/exporter and/or the USDA Accredited Veterinarian promptly if problems are found with the submission. If you are shipping a health certificate to or from our office, we recommend you use overnight delivery services with Saturday delivery.

We regret time does not permit us to reply to requests for confirmation of delivery or status reports on your health certificate since we must remain focused on endorsement of health certificates to get them back to you as quickly as possible. For shipped packages, use your package’s tracking information to confirm delivery and that your endorsed health certificate is en route back to you. For VEHCS packages, the accredited veterinarian can monitor the status of the submission within the system.

I understand a signed, valid rabies certificate is required to be on file prior to scheduling the health exam.
A signed, valid rabies certificate includes the following:

Dr.’s signature and license number
Date of vaccination and when vaccine is next due
Vaccine product expiration date
Vaccine manufacturer and product name
Vaccine batch number
Pet’s name, age, breed, and color
Certificate must be in English or with full English translation
If a microchip is listed as a requirement for the country of travel, the microchip must be listed on the rabies certificate.

If you are working with a pet shipping company – I understand the following:*

If Companion Lake Zurich is completing and signing off on the health certificate, Companion Lake Zurich’s USDA VEHCS account must be used.

Pet shippers may send completed certificates for reference only – Companion Lake Zurich will complete all health certificates on their own.

ALL paperwork (vaccines, testing, import permit) must be submitted prior to the appointment or Companion Lake Zurich is unable to complete the exam. Expedited fees apply if received less than 5 days to appointment date.

The owner will need to complete this consent form and any other paperwork related to the IHC so they are aware of and legally acknowledging any policy, timelines, and pricing.

By signing below, I agree to all of the above policies*

Date*

After completing this consent form, you are able to give the clinic a call for scheduling.

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Client Information

What's Next

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