Get the free Travel Health Questionnaire - WesternU Patient Care Center
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795 E. Second Street, Suite 1 Pomona, CA 917662007 Main 9097063730 * Fax 9097063731 Western Travel Health Center Email: travel center western.edu or Fax: 9097063731 Please complete all the following
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How to fill out travel health questionnaire
How to fill out a travel health questionnaire:
01
Start by carefully reading all the instructions provided with the questionnaire. Make sure you understand what information needs to be included and any specific formatting requirements.
02
Begin with your personal details. This typically includes your full name, date of birth, contact information, and passport details. Fill in all the required fields accurately to avoid any issues later on.
03
Next, you may be asked to provide your travel details. This can include the countries you plan to visit, the dates of your trip, and the purpose of your travel. Be sure to include as much information as possible to ensure the accuracy of your health assessment.
04
Move on to the medical history section of the questionnaire. This is where you will need to provide details about any pre-existing medical conditions, allergies, ongoing treatments, or medications you may be taking. Fill in each question truthfully and elaborately, as it is crucial for a proper health evaluation.
05
Inquire about any specific vaccination requirements for your destination(s). Many countries have mandatory vaccinations, especially for certain diseases like yellow fever or polio. Take note of these requirements and indicate whether you have received the necessary vaccinations.
06
If you have any recent illnesses or have been in contact with contagious diseases, make sure to disclose this information. This will allow the healthcare professionals to assess any potential risks associated with your travel and provide appropriate advice or guidelines.
07
Finally, sign and date the completed questionnaire. Ensure you have provided all necessary information and review your responses for accuracy before submitting it.
Who needs a travel health questionnaire?
Anyone who is planning to travel internationally should complete a travel health questionnaire. It is especially important for individuals with pre-existing health conditions or those who may require specific medical attention during their trip. Additionally, travelers visiting countries with high disease prevalence, remote or rural areas, or engaging in activities that may pose health risks should also complete a travel health questionnaire. It helps healthcare professionals assess potential risks, provide necessary vaccinations or medications, and offer appropriate health advice to ensure a safe and healthy travel experience.
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What is travel health questionnaire?
A travel health questionnaire is a form used to gather information about an individual's health status and travel history.
Who is required to file travel health questionnaire?
Anyone who is planning to travel to a certain destination may be required to file a travel health questionnaire, depending on the rules and regulations of that destination.
How to fill out travel health questionnaire?
Travelers can fill out a travel health questionnaire by providing accurate information about their health status, travel history, and any symptoms they may be experiencing. The form is usually available online or at the airport.
What is the purpose of travel health questionnaire?
The purpose of a travel health questionnaire is to assess the health risk of travelers and to prevent the spread of infectious diseases.
What information must be reported on travel health questionnaire?
Travelers may be asked to report information such as their recent travel history, symptoms they may be experiencing, and any contact with individuals who have been sick.
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