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Print Form Samaritan International Travel Clinic 3640 NW Samaritan Dr, Corvallis, OR 97330 pH. 541.768.5810, Fax 541.768.5811 Travelers Name Today's Date of Birth Itinerary Country Purpose of Travel
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How to fill out Samaritan International Travel Clinic:

01
Visit the Samaritan International Travel Clinic website or call their office to obtain the necessary forms.
02
Fill out your personal information including your name, date of birth, address, and contact information.
03
Provide details about your travel plans including the destination, dates of travel, and purpose of the trip.
04
Specify any pre-existing medical conditions or allergies that you have.
05
Indicate the type of vaccinations or medications you may need for your trip.
06
If you have any specific concerns or questions, make sure to include them on the form.
07
Once you have completed the form, review it for any errors or missing information, and make any necessary corrections.
08
Submit the form to Samaritan International Travel Clinic either online, by mail, or in person.

Who needs Samaritan International Travel Clinic:

01
Individuals who are planning to travel internationally and require medical assistance and advice specific to their destination.
02
People with pre-existing medical conditions who may need specialized care while traveling.
03
Anyone who wants to ensure they have the necessary vaccinations and medications for their trip to prevent illness or complications.
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Samaritan International Travel Clinic is a medical facility that provides travel vaccinations and health consultations for individuals planning to travel abroad.
Individuals planning to travel internationally and seeking vaccinations and health advice are required to visit Samaritan International Travel Clinic.
To fill out Samaritan International Travel Clinic, individuals need to schedule an appointment, provide their travel itinerary, and medical history, and consult with healthcare professionals.
The purpose of Samaritan International Travel Clinic is to ensure the health and safety of individuals traveling abroad by providing necessary vaccinations and health advice.
Information such as travel destinations, medical history, vaccine records, and any pre-existing health conditions must be reported on Samaritan International Travel Clinic.
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