To help save time, please follow these three steps:

    1. Click on the link below to download the questionnaire.
      and Print the Questionnaire.

 

    1. Fill in the printed questionnaire, and

 

  1. 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 with your completed travel questionnaire.