NorthShore University HealthSystem Travel Health History 2021-2025 free printable template
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Travel Center 2150 Kingston Road Suite 3000 Glenview, IL 60026 8476575670 fax 8476571759Dear Traveler: Thank you for contacting the Foreshore Travel Center. We are located within the Glen brook Hospital
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How to fill out NorthShore University HealthSystem Travel Health History
How to fill out NorthShore University HealthSystem Travel Health History
01
Visit the NorthShore University HealthSystem website or obtain a paper form.
02
Fill out personal information, including your name, date of birth, and contact details.
03
Provide information about your travel details, including destinations, dates of travel, and purpose of travel.
04
List any previous vaccinations and any history of travel-related illnesses.
05
Include any current medications or medical conditions.
06
Review the form for accuracy and completeness before submission.
07
Submit the form online or return the paper version to the health system.
Who needs NorthShore University HealthSystem Travel Health History?
01
Individuals planning to travel internationally.
02
Travelers seeking vaccination or health advice before a trip.
03
Patients with a history of travel-related illnesses.
04
Anyone who wants to update their health records prior to travel.
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What is NorthShore University HealthSystem Travel Health History?
NorthShore University HealthSystem Travel Health History is a documentation tool used to record a patient's travel-related health information, including past travel destinations, vaccination status, and any health issues experienced during travel.
Who is required to file NorthShore University HealthSystem Travel Health History?
All patients planning to travel internationally or who have recently traveled abroad are required to file a Travel Health History as part of their health assessment at NorthShore University HealthSystem.
How to fill out NorthShore University HealthSystem Travel Health History?
To fill out the NorthShore University HealthSystem Travel Health History, patients must provide detailed information about their travel itinerary, health conditions encountered during travel, vaccinations received, and any symptoms or illnesses experienced after returning.
What is the purpose of NorthShore University HealthSystem Travel Health History?
The purpose of the NorthShore University HealthSystem Travel Health History is to identify health risks associated with travel, ensure appropriate vaccinations are up to date, and provide preventive care and guidance tailored to the patient's travel history.
What information must be reported on NorthShore University HealthSystem Travel Health History?
Patients must report information including travel destinations, duration of travel, vaccination history, any health issues encountered during travel, and current health status with respect to travel-related illnesses.
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