{"id":473,"date":"2025-02-07T18:07:59","date_gmt":"2025-02-07T18:07:59","guid":{"rendered":"https:\/\/classenviewvet.com\/?page_id=473"},"modified":"2025-02-08T16:18:20","modified_gmt":"2025-02-08T16:18:20","slug":"international-health-certificate","status":"publish","type":"page","link":"https:\/\/classenviewvet.com\/index.php\/international-health-certificate\/","title":{"rendered":"International Health Certificate"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-5250d14f-94b2-416d-85f2-246f82334adb wpforms-render-modern\" id=\"wpforms-498\"><form id=\"wpforms-form-498\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"498\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/473\" data-token=\"64692d11bc2d5b6f64aa5ea065be7fe4\" data-token-time=\"1777045626\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-498-field_1-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_1\">INTERNATIONAL HEALTH CERTIFICATE WORKSHEET<\/label><textarea id=\"wpforms-498-field_1\" class=\"wpforms-field-large\" name=\"wpforms[fields][1]\" placeholder=\"Please note that the following questions are preliminary details that are necessary in order to help properly schedule your pet\u2019s physical examination that is required to obtain travel documentation. It is important to understand that there is a multi step process to creating international health certificates.   International Health Certificates are a collaborative effort between the pet owner, Classen View Veterinary Clinic, USDA APHIS and your airline and travel destination(s).  Consult the USDA APHIS website for further details as it pertains to your destination country.   Given current travel conditions, it is recommended to purchase refundable tickets, should last minute adjustments need to be made to your plans.  The USDA APHIS currently is reviewing health certificates based on date of departure and not date of submission. This has often resulted in the return of the IHC on the date of departure.   The signature below is acknowledgement of understanding of this document, and understanding that Classen View Veterinary Clinic is not liable for any delays caused by (but not limited to) the following: USDA APHIS, USPS, UPS, FedEx or any other third party involved in the process of review and delivery. Refunds will not be issued if a delay occurs.   Additionally, I understand that failure to comply with the destination country\u2019s requirements may result in denial of entry, mandatory quarantine or other actions as decided by the destination country.   Please note that countries will, at times, change their import requirements without advanced notice. \" aria-errormessage=\"wpforms-498-field_1-error\" aria-describedby=\"wpforms-498-field_1-description\" ><\/textarea><div id=\"wpforms-498-field_1-description\" class=\"wpforms-field-description\">Complete this worksheet and submit prior to scheduling a consultation with our USDA Accredited Veterinarian.  All information must be fully filled out with documentation of vaccinations in order to proceed with a consultation. <\/div><\/div><div id=\"wpforms-498-field_39-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"39\"><fieldset><legend class=\"wpforms-field-label\"> I acknowledge that I have read and understand the provisions, requirements and information presented above  regarding this Health Certificate  Worksheet Above. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-498-field_39\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-498-field_39_1\" name=\"wpforms[fields][39][]\" value=\"Yes\" aria-errormessage=\"wpforms-498-field_39_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_39_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-498-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Owner Information  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-498-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" aria-errormessage=\"wpforms-498-field_3-error\" aria-describedby=\"wpforms-498-field_3-description\" required><label for=\"wpforms-498-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-498-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" aria-errormessage=\"wpforms-498-field_3-last-error\" aria-describedby=\"wpforms-498-field_3-description\" required><label for=\"wpforms-498-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div id=\"wpforms-498-field_3-description\" class=\"wpforms-field-description\">Please Enter Your Name<\/div><\/fieldset><\/div><div id=\"wpforms-498-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_4\">Current Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-498-field_4-error\" required><\/div><div id=\"wpforms-498-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_5\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_5\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"+1 (999) 999-9999\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-498-field_5-error\" required><\/div><div id=\"wpforms-498-field_6-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_6\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-498-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" spellcheck=\"false\" aria-errormessage=\"wpforms-498-field_6-error\" required><\/div>\t\t<div id=\"wpforms-498-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-498-field_2\" >Did Is Be<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-498-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-498-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_7\">TRAVEL INFORMATION<\/label><textarea id=\"wpforms-498-field_7\" class=\"wpforms-field-small\" name=\"wpforms[fields][7]\" placeholder=\"Please Provide Your Travel Information Below. \" aria-errormessage=\"wpforms-498-field_7-error\" ><\/textarea><\/div><div id=\"wpforms-498-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_8\">What Country Is Your Pet Traveling To? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-498-field_8-error\" required><\/div><div id=\"wpforms-498-field_9-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_9\">List The Address(s) And Phone Number(s) In The Destination Country Where Your Pet Will Stay During This Visit: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-498-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" placeholder=\"Address and Phone Number\" aria-errormessage=\"wpforms-498-field_9-error\" required><\/textarea><\/div><div id=\"wpforms-498-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_10\">What Airline Will Your Pet Be On For The Travel? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" value=\"Airline\" aria-errormessage=\"wpforms-498-field_10-error\" required><\/div><div id=\"wpforms-498-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_11\">Will The Plane Stop For Layovers?  Please List Any Stops Or Plane Changes That Will Occur: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-498-field_11-error\" aria-describedby=\"wpforms-498-field_11-description\" required><div id=\"wpforms-498-field_11-description\" class=\"wpforms-field-description\">If there are no layovers or plane changes please enter &#8220;None&#8221;<\/div><\/div><div id=\"wpforms-498-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Who Is accompanying Your Pet While Traveling? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-498-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-498-field_12_1\" name=\"wpforms[fields][12][]\" value=\"The Owner\" aria-errormessage=\"wpforms-498-field_12_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_12_1\">The Owner<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-498-field_12_2\" name=\"wpforms[fields][12][]\" value=\"Person Authorized By Owner\" aria-errormessage=\"wpforms-498-field_12_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_12_2\">Person Authorized By Owner<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-498-field_12_3\" name=\"wpforms[fields][12][]\" value=\"Pet Transport Company\" aria-errormessage=\"wpforms-498-field_12_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_12_3\">Pet Transport Company<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-498-field_12_4\" name=\"wpforms[fields][12][]\" value=\"No One\" aria-errormessage=\"wpforms-498-field_12_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_12_4\">No One<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-498-field_13-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">How Is Your Pet Leaving The United States?<\/legend><ul id=\"wpforms-498-field_13\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_13_1\" name=\"wpforms[fields][13]\" value=\"Air (Direct Flight)\" aria-errormessage=\"wpforms-498-field_13_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_13_1\">Air (Direct Flight)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_13_2\" name=\"wpforms[fields][13]\" value=\"Air (Layovers In Another Country)\" aria-errormessage=\"wpforms-498-field_13_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_13_2\">Air (Layovers In Another Country)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_13_3\" name=\"wpforms[fields][13]\" value=\"Car\" aria-errormessage=\"wpforms-498-field_13_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_13_3\">Car<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_13_4\" name=\"wpforms[fields][13]\" value=\"Train\" aria-errormessage=\"wpforms-498-field_13_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_13_4\">Train<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_13_5\" name=\"wpforms[fields][13]\" value=\"Boat\/Ship (Direct)\" aria-errormessage=\"wpforms-498-field_13_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_13_5\">Boat\/Ship (Direct)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_13_6\" name=\"wpforms[fields][13]\" value=\"Cruise Ship\" aria-errormessage=\"wpforms-498-field_13_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_13_6\">Cruise Ship<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-498-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_14\">What Date Is Your Pet Leaving The United States <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_14\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-alias=\"datetime\" data-inputmask-inputformat=\"mm\/dd\/yy\" data-inputmask-inputmode=\"numeric\" name=\"wpforms[fields][14]\" value=\"mm\/yy\" aria-errormessage=\"wpforms-498-field_14-error\" required><\/div><div id=\"wpforms-498-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_15\">How Many Pets Are Traveling? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-498-field_15-error\" required><\/div><div id=\"wpforms-498-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_16\">How Old Will The Pet Be At The Date Of Travel? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-498-field_16-error\" aria-describedby=\"wpforms-498-field_16-description\" required><div id=\"wpforms-498-field_16-description\" class=\"wpforms-field-description\">Enter Pet&#8217;s Age<\/div><\/div><div id=\"wpforms-498-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_17\">Did Your Airline Or Cruise Ship Give Any Additional Travel Requirements For Your Pet?  If So, Please List Them Below. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-498-field_17-error\" aria-describedby=\"wpforms-498-field_17-description\" required><div id=\"wpforms-498-field_17-description\" class=\"wpforms-field-description\">If there are no additional requirements, please enter &#8220;None&#8221;<\/div><\/div><div id=\"wpforms-498-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_18\">PET INFORMATION<\/label><input type=\"text\" id=\"wpforms-498-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" placeholder=\"Please Provide The Following:\" aria-errormessage=\"wpforms-498-field_18-error\" ><\/div><div id=\"wpforms-498-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_19\">Pet&#039;s Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-498-field_19-error\" required><\/div><div id=\"wpforms-498-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">Sex Of Pet <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-498-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-498-field_21_1\" name=\"wpforms[fields][21][]\" value=\"Male\" aria-errormessage=\"wpforms-498-field_21_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_21_1\">Male<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-498-field_21_2\" name=\"wpforms[fields][21][]\" value=\"Female\" aria-errormessage=\"wpforms-498-field_21_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_21_2\">Female<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-498-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Spayed Or Neutered? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-498-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_22_1\" name=\"wpforms[fields][22]\" value=\"Yes\" aria-errormessage=\"wpforms-498-field_22_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_22_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_22_2\" name=\"wpforms[fields][22]\" value=\"No\" aria-errormessage=\"wpforms-498-field_22_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_22_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-498-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_23\">Color? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-498-field_23-error\" required><\/div><div id=\"wpforms-498-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Does Your Pet Have A Microchip? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-498-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_25_1\" name=\"wpforms[fields][25]\" value=\"Yes\" aria-errormessage=\"wpforms-498-field_25_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_25_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_25_2\" name=\"wpforms[fields][25]\" value=\"No\" aria-errormessage=\"wpforms-498-field_25_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_25_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-498-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_26\">Microchip Number: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" aria-errormessage=\"wpforms-498-field_26-error\" aria-describedby=\"wpforms-498-field_26-description\" required><div id=\"wpforms-498-field_26-description\" class=\"wpforms-field-description\">If Your Pet Does Not Have A Microchip Please Enter &#8220;None&#8221;<\/div><\/div><div id=\"wpforms-498-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_37\">VACCINATION INFORMATION<\/label><input type=\"text\" id=\"wpforms-498-field_37\" class=\"wpforms-field-medium\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-498-field_37-error\" aria-describedby=\"wpforms-498-field_37-description\" ><div id=\"wpforms-498-field_37-description\" class=\"wpforms-field-description\">Please Provide You&#8217;re Pet&#8217;s Vaccination Information Below.<\/div><\/div><div id=\"wpforms-498-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_27\">What Veterinary Clinic Performed Your Pets Vaccines? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-498-field_27-error\" required><\/div><div id=\"wpforms-498-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_28\">Month And Year Of Vaccinations <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_28\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-alias=\"datetime\" data-inputmask-inputformat=\"mm\/yy\" data-inputmask-inputmode=\"numeric\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-498-field_28-error\" aria-describedby=\"wpforms-498-field_28-description\" required><div id=\"wpforms-498-field_28-description\" class=\"wpforms-field-description\">If you&#8217;re not sure, give the approximate month and year in a mm\/yy format.<\/div><\/div><div id=\"wpforms-498-field_29-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"29\"><fieldset><legend class=\"wpforms-field-label\">Is Your Pet Current On A Rabies Vaccine? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-498-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_29_1\" name=\"wpforms[fields][29]\" value=\"Yes\" aria-errormessage=\"wpforms-498-field_29_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_29_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_29_2\" name=\"wpforms[fields][29]\" value=\"No\" aria-errormessage=\"wpforms-498-field_29_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_29_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-498-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_30\">Who Administered The Pet&#039;s Last Rabies Vaccine? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-498-field_30-error\" required><\/div><div id=\"wpforms-498-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_31\">Which Heartworm Prevention Does Your Pet Take?<\/label><input type=\"text\" id=\"wpforms-498-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-498-field_31-error\" ><\/div><div id=\"wpforms-498-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_32\">Date Given? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_32\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-alias=\"datetime\" data-inputmask-inputformat=\"mm\/yy\" data-inputmask-inputmode=\"numeric\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-498-field_32-error\" aria-describedby=\"wpforms-498-field_32-description\" required><div id=\"wpforms-498-field_32-description\" class=\"wpforms-field-description\">If you&#8217;re not sure, give the approximate month and year in a mm\/yy format.<\/div><\/div><div id=\"wpforms-498-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">Is Your Pet On Flea And Tick Prevention? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-498-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_34_1\" name=\"wpforms[fields][34]\" value=\"Yes\" aria-errormessage=\"wpforms-498-field_34_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_34_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-498-field_34_2\" name=\"wpforms[fields][34]\" value=\"No\" aria-errormessage=\"wpforms-498-field_34_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-498-field_34_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-498-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_35\">Date Given? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_35\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-alias=\"datetime\" data-inputmask-inputformat=\"mm\/dd\" data-inputmask-inputmode=\"numeric\" name=\"wpforms[fields][35]\" aria-errormessage=\"wpforms-498-field_35-error\" aria-describedby=\"wpforms-498-field_35-description\" required><div id=\"wpforms-498-field_35-description\" class=\"wpforms-field-description\">If you&#8217;re not sure, give the approximate month and year in a mm\/yy format.<\/div><\/div><div id=\"wpforms-498-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-498-field_36\">Owners Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-498-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-498-field_36-error\" aria-describedby=\"wpforms-498-field_36-description\" required><div id=\"wpforms-498-field_36-description\" class=\"wpforms-field-description\">By selecting the \u201cSubmit&#8221; button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual\/handwritten signature on this document. By selecting \u201cSubmit\u201d using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor\u2019s parent or legal guardian.\nI may decline to electronically sign this document and withdraw my consent to sign this document electronically by contacting the signature requestor directly, which may delay transactions. I may contact the signature requestor separately to request to sign this document on paper or to receive a paper copy of the signed document. Any fees for such paper copy will be charged then by the signature requestor. When I sign the document, I will receive a copy of this document via email. <\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-498-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-498-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-498-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"498\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages\/473\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-498\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/classenviewvet.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-473","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages\/473","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/comments?post=473"}],"version-history":[{"count":2,"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages\/473\/revisions"}],"predecessor-version":[{"id":502,"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/pages\/473\/revisions\/502"}],"wp:attachment":[{"href":"https:\/\/classenviewvet.com\/index.php\/wp-json\/wp\/v2\/media?parent=473"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}