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University of Utah Medical Center INTERNATIONAL TRAVEL CLINIC Name: Country of Birth: DOB: Date of Immigration to U.S.: Age: TRAVEL INFORMATION Departure Date Return Date Total Length of Trip NUMBER
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How to fill out an international travel clinic:

01
Research and select a reputable international travel clinic: Start by doing some research to find a trusted international travel clinic in your area. Look for clinics that specialize in travel medicine and have experienced healthcare professionals who can provide the necessary vaccinations, medications, and advice for your specific destination.
02
Schedule an appointment: Once you have chosen a clinic, call or book an appointment online. It is advisable to schedule your appointment well in advance, as some vaccinations may require multiple doses and take time to provide full protection.
03
Gather relevant information: Before your appointment, gather any relevant information that the clinic may require. This could include your travel itinerary, previous vaccination records, and any medical conditions you may have. Having this information readily available will help the clinic's healthcare providers assess your specific needs and tailor their recommendations accordingly.
04
Complete any necessary forms: Most international travel clinics require patients to complete certain forms or questionnaires before their appointment. These forms typically ask about your travel plans, medical history, and any specific concerns you may have. Take your time to fill out these forms accurately and thoroughly, as they will assist the healthcare provider in offering the most appropriate advice and recommendations.
05
Attend your appointment: On the day of your appointment, arrive on time and bring all the necessary documents, including your passport, vaccination records, and completed forms. During your appointment, the healthcare provider will review your travel plans, assess your risk factors, and recommend any necessary vaccinations, medications, or preventive measures based on your destination and individual health profile.
06
Follow the healthcare provider's recommendations: After your appointment, carefully follow the recommendations provided by the healthcare provider at the international travel clinic. This may include getting specific vaccinations, taking prophylactic medications, or practicing certain preventive measures like using insect repellent or practicing safe food and water consumption. Adhering to these recommendations will help protect you from potential travel-related health risks.

Who needs an international travel clinic:

01
Individuals traveling to high-risk destinations: Anyone planning to travel to regions with increased health risks, such as tropical or developing countries, may benefit from visiting an international travel clinic. These clinics can provide targeted vaccinations, medications, and advice to prevent or minimize the risk of contracting travel-related diseases.
02
People with specific health conditions: Individuals with pre-existing health conditions, weakened immune systems, or chronic illnesses may require additional precautions and specialized advice when traveling internationally. International travel clinics can assess their specific needs and recommend appropriate measures to ensure their health and well-being during their trip.
03
Families with young children: Traveling with young children can present unique health risks. International travel clinics can offer specific vaccinations and advice tailored to children's needs, ensuring their safety while abroad.
04
Business travelers and expatriates: Individuals traveling overseas for work or planning to live in another country may require specific vaccinations or health screenings mandated by their employers or immigration authorities. International travel clinics can fulfill these requirements and provide additional health advice to assist these travelers in adjusting to their new environment.
In summary, anyone planning an international trip, especially to high-risk destinations or with specific health considerations, should consider visiting an international travel clinic. These clinics offer specialized services, including vaccinations, medications, and advice, to ensure the health and safety of travelers during their journey.
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International travel clinic is a medical facility that provides vaccinations, medications, and advice to travelers going abroad.
Anyone planning to travel internationally and seeking medical advice or vaccinations may visit an international travel clinic.
To fill out an international travel clinic form, you typically need to provide information about your travel destination, medical history, and any previous vaccinations.
The purpose of international travel clinic is to help travelers stay healthy while abroad by providing necessary vaccinations and medical advice.
Information such as the traveler's destination, medical history, vaccination records, and any specific health concerns should be reported on the international travel clinic form.
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