Welcome! Please complete for your health certificate. Client Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Patient Name Barn Name Sex Gelding Mare Stallion Filly Colt Age Breed Color Markings Please be descriptive (sock, blaze, star etc) Destination Hauler Haul Date MM DD YYYY Port traveling through Thank you for completing the International Health Certificate information. We will be in touch soon.