Travel Medicine Clinic Travel Health Clinic
travel health clinic
Travel Health Consultations
Vaccinations & Products
Avian Flu




 

 
Travel Health Services

Please note that travel medicine in Canada is not a provincially or federally funded service, so fees apply for consultations as well as vaccinations. If you have private health insurance, you might be able to obtain reimbursement for these fees from your private insurance provider, depending on the terms of your insurance policy.

Please fill out and submit this form and we will respond promptly with appointment confirmation

Note: All fields are required.

 

First Name:  
Last Name:  
Email Address:  
Phone Number:  
Clinic Requested:  
Type of Consultation:  
Travel Destination(s):  

Total Travel Duration:  
Preferred
Appointment Date:
<March 2010>
SunMonTueWedThuFriSat
28123456
78910111213
14151617181920
21222324252627
28293031123
45678910
Preferred Appointment Time  
Alternative
Appointment Date:

<March 2010>
SunMonTueWedThuFriSat
28123456
78910111213
14151617181920
21222324252627
28293031123
45678910
Alternative Appointment Time:  
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