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CLIFTON MEDICAL Center TRAVEL RISK ASSESSMENT FORM Name: Date of birth Male E mail: Female Telephone number: PLEASE SUPPLY INFORMATION ABOUT YOUR TRIP IN THE SECTIONS BELOW Mobile number: Total length
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How to fill out clifton medical centre travel

01
Step 1: Obtain the travel form from Clifton Medical Centre.
02
Step 2: Fill out your personal information, including your name, date of birth, and contact details.
03
Step 3: Provide details about your travel destination, including the country and specific cities or areas you will be visiting.
04
Step 4: Indicate the duration of your travel and the purpose of your visit (e.g., vacation, business trip, etc.).
05
Step 5: List any pre-existing medical conditions or allergies you may have.
06
Step 6: Fill in your emergency contact information, including the name, relationship, and contact number of a person who can be reached in case of an emergency during your trip.
07
Step 7: Sign and date the travel form.
08
Step 8: Submit the completed form to the Clifton Medical Centre travel desk.

Who needs clifton medical centre travel?

01
Clifton Medical Centre travel form is for individuals who intend to travel abroad.
02
It is particularly useful for patients of Clifton Medical Centre who require medical clearance or documents related to their health condition for their travel purposes.
03
Anyone visiting a foreign country and seeking medical advice or preventive measures may also need to fill out the Clifton Medical Centre travel form.
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Clifton Medical Centre travel is a form used to report travel expenses related to medical appointments at the Clifton Medical Centre.
Patients who have incurred travel expenses to visit the Clifton Medical Centre are required to file the travel form.
The Clifton Medical Centre travel form can be filled out by providing details of the date of travel, mode of transportation, distance traveled, and total expenses incurred.
The purpose of the Clifton Medical Centre travel form is to track and reimburse patients for travel expenses incurred while visiting the medical centre.
The information that must be reported on the Clifton Medical Centre travel form includes date of travel, mode of transportation, distance traveled, and total expenses incurred.
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