Travel Questionnaire

To help save time, please follow these three steps:

1. Click on the link below to download the questionnaire.
   Pre-Travel Questionnaire
2. Print the Questionnaire.
3. Fill in the printed questionnaire, and
4. Bring the questionnaire to your Travel Consultation.

Please Note:

** If you or your family member have a complex history, please ask for a longer consult appointment and bring all of your medications along with your completed travel questionnaire.