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International Travel Medical Questionnaire Name:Date of Birth: LastFirstM/F/Other Month/Day/Readdress: Streetcar, Telephone Number:Email:Primary care physician:Emergency Contact: NamePhoneRelationship
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How to fill out pre-travel questionnaire form

01
Gather all required information such as personal details, travel destination, travel dates, accommodation details, and emergency contact information.
02
Access the pre-travel questionnaire form either online through the travel agency's website or obtain a physical copy.
03
Fill out the form accurately and completely, providing all the necessary details as requested.
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Double-check the information provided to ensure correctness and completeness.
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Submit the filled-out form through the designated method (online submission or physical submission).

Who needs pre-travel questionnaire form?

01
Anyone who is planning to travel and has booked a trip through a travel agency or company may need to fill out the pre-travel questionnaire form.
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Pre-travel questionnaire form is a form that collects information about a traveler's health, recent travel history, and potential exposure to infectious diseases.
Travelers who are planning to visit certain countries or regions that have specific health requirements are required to file pre-travel questionnaire form.
To fill out a pre-travel questionnaire form, travelers must provide accurate and up-to-date information about their health status, recent travel history, and potential exposure to infectious diseases.
The purpose of pre-travel questionnaire form is to assess the risk of travelers spreading infectious diseases and to provide recommendations for their health and safety during their trip.
Information such as recent travel history, current health status, contact with sick individuals, and any symptoms of infectious diseases must be reported on pre-travel questionnaire form.
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