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183 Riccardo Road, Christchurch 8041 New Zealand pH: 03 348 8989 Fax: 03 348 8618 TRAVEL QUESTIONNAIRE Name: DOB: Address: Email: GP (if not Doctors on Riccardo) Patient to complete sections 1, 2
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01
Start by obtaining the travel questionnaire form from the relevant authority or department.
02
Read the instructions on the form carefully to understand the required information.
03
Begin by providing your personal details such as name, age, gender, and contact information.
04
Fill out the sections related to your travel history, including the countries visited, dates of travel, and purpose of the trip.
05
Answer any health-related questions, if applicable. This may include disclosing any medical conditions or medications.
06
Make sure to provide accurate and detailed responses, as this information will be used for evaluation and decision-making.
07
Review the completed form to ensure there are no errors or missing information.
08
Sign and date the form as required, indicating your agreement with the provided information.
09
Submit the travel questionnaire as instructed, either electronically or by delivering it to the designated office or authority.
10
Keep a copy of the filled-out travel questionnaire for your records.

Who needs travel questionnaire - doctors?

01
Travel questionnaires are typically required by doctors who are planning to travel internationally for various purposes.
02
This may include doctors attending medical conferences or seminars abroad, participating in medical missions or volunteer work, or simply traveling for personal reasons.
03
The travel questionnaire helps authorities assess the potential risks associated with the doctor's travel and ensure necessary precautions or preventive measures are taken.
04
It aids in monitoring and tracking the movement of healthcare professionals, especially during public health emergencies or outbreaks.
05
By completing the travel questionnaire, doctors can contribute to the overall safety and well-being of themselves and the communities they serve.
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The travel questionnaire for doctors is a form used to gather information about a physician's recent travel history.
All doctors or physicians are required to file a travel questionnaire.
The travel questionnaire for doctors can be filled out online or submitted in person at the designated medical facility.
The purpose of the travel questionnaire for doctors is to assess any potential risk of exposure to infectious diseases during travel.
Doctors must provide details about their recent travel destinations, duration of stay, and any potential exposure to infectious diseases.
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