Pre-Travel Questionnaire (Form)

Pre-Travel Questionnaire can be downloaded from this link: Pre-Travel Questionnaire

Please note:

  • The purpose of this form is to obtain travel itinerary, medical and vaccination records and other information needed for the pre-travel health consultation.
  • Please complete the form (one form for each traveler) and bring the completed form with you to your appointment.
  • If you have not requested an appointment, please do so here: appointment.



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