Get the free Foreign Travel Patient Record w Patient Questionnaire 07-01-15

HendersonCountyDepartmentofPublicHealth 1200SpartanburgHwySuite100 Hendersonville,NC28792 Tel6946015Fax6974504 ForeignTravelProgramPatientRecord Name: DateofBirth: Age: Insurance: Address: TEL: PATIENTQUESTIONNAIRE

How to fill out foreign travel patient record

How to fill out foreign travel patient record:

1. Start by gathering all necessary information such as your personal details, including full name, date of birth, and contact information.
2. Next, provide details about your upcoming or recent foreign travel, including the destination country or countries, duration of the trip, and purpose of your travel.
3. If you have any known medical conditions, it is important to disclose them in the patient record. Include any allergies, chronic illnesses, or medications you are currently taking.
4. In the foreign travel patient record, you may need to mention any vaccinations or preventive medications you have received or will receive before your trip. Include the name of the vaccine or medication, date administered, and any adverse reactions experienced, if applicable.
5. Provide information about any recent hospitalizations or surgeries you have undergone. Include the dates, procedures performed, and the medical professionals involved.
6. If you have any preexisting medical conditions, it is crucial to mention them in detail. Include the diagnosis, treatment plan, and any ongoing medications or therapies.
7. Be sure to provide emergency contact details of a person who can be reached in case of any medical issues during your travel. Include their full name, relationship to you, and their contact information.

Who needs foreign travel patient record:

1. Individuals who are planning to travel abroad for leisure, work, or any other purpose should have a foreign travel patient record.
2. It is particularly important for individuals with preexisting medical conditions to have a record that outlines their medical history and provides necessary information to healthcare providers in case of emergencies during their foreign travel.
3. The foreign travel patient record is vital for healthcare providers and medical facilities in the destination country to provide appropriate care if needed.
4. Employers or organizations sending employees or members overseas may require a foreign travel patient record to ensure the health and safety of their personnel.
5. Travel insurance companies may also request a foreign travel patient record to assess the risk and coverage for a particular trip.

In summary, filling out a foreign travel patient record involves providing personal and medical information, details about the travel, vaccinations, medical history, and emergency contact information. This record is necessary for individuals planning to travel abroad, especially those with preexisting medical conditions, as well as for healthcare providers, employers, and travel insurance companies.

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What is foreign travel patient record?

Foreign travel patient record is a document that contains medical information of a patient who has traveled outside their home country for medical treatment.

Who is required to file foreign travel patient record?

Medical facilities and healthcare providers are required to file foreign travel patient records for patients who have received treatment abroad.

How to fill out foreign travel patient record?

The foreign travel patient record can be filled out by including details such as the patient's medical history, treatment received abroad, medications prescribed, and follow-up care plans.

What is the purpose of foreign travel patient record?

The purpose of foreign travel patient record is to ensure continuity of care for patients who have received medical treatment outside their home country, and to provide necessary information to their healthcare providers.

What information must be reported on foreign travel patient record?

The foreign travel patient record should include details such as the patient's personal information, medical history, treatment received abroad, medications prescribed, and any follow-up care plans.