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2401 Plymouth Road, Suite C Ann Arbor, MI 481052193 Telephone (734× 9989351 Fax (734× 9989340 Email GerMedOll Mich.edu Website www.olliumich.org Travel Health Information Form Please Print Clearly

How to fill out travel health information form

How to fill out a travel health information form:

1. Start by reading the instructions provided on the form carefully. Make sure you understand what information is required and how it should be filled out.
2. Begin by providing your personal details such as your full name, date of birth, gender, and contact information. This information is important for identification and communication purposes.
3. Next, provide details about your upcoming travel plans. Include the destination(s), duration of stay, purpose of travel, and any specific activities you will be engaging in during your trip. This information helps assess potential health risks and provide appropriate guidance.
4. Provide information about your current health status. This may include any pre-existing medical conditions, allergies, medication you are currently taking, and any recent illnesses or surgeries. Be honest and thorough in your responses as this information is crucial for your safety during travel.
5. Inquire about any vaccinations or immunizations you may require for your trip. Some destinations have specific health requirements, and it's essential to state whether you have received the necessary vaccinations or if you need any additional ones.
6. Tick the boxes or answer the questions related to your medical history and lifestyle habits. These questions may cover topics such as smoking, alcohol consumption, chronic diseases, or mental health conditions. Again, be honest in your responses as this information assists in assessing potential health risks.
7. If you have any specific concerns or questions regarding your health while traveling, leave a section for additional comments or notes. This allows you to communicate any specific requirements or seek further advice from healthcare professionals.

Who needs a travel health information form?

1. Individuals planning to travel internationally should fill out a travel health information form. This includes both leisure and business travelers.
2. Students participating in study abroad programs or exchange programs should also complete a travel health information form. Universities often require this information to ensure the safety and well-being of their students while overseas.
3. Employees traveling for work purposes to foreign countries may be required to fill out a travel health information form. Employers need this information to assess any potential health risks and provide appropriate support to their employees.

Remember, filling out a travel health information form is a crucial step in ensuring your safety and well-being during your journey. Provide accurate and comprehensive information to receive appropriate guidance and support from healthcare professionals.

For pdfFiller’s FAQs

What is travel health information form?

The travel health information form is a document that collects information about an individual's health status in relation to travel.

Who is required to file travel health information form?

All individuals planning to travel are required to file a travel health information form.

How to fill out travel health information form?

To fill out the travel health information form, one must provide personal health information, vaccination records, and travel itinerary.

What is the purpose of travel health information form?

The purpose of the travel health information form is to assess the health risks associated with travel and to provide appropriate medical recommendations or interventions.

What information must be reported on travel health information form?

Information such as current health conditions, allergies, medications, vaccinations, and recent travel history must be reported on the travel health information form.

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