Travel Medical Form

Before attending a Travel Consultation please click on the link below to open the Travel Medical Form. Please print it and complete all requested details. Please be sure to bring it with you to the consultation.

Hard copies of the Travel Medical Form can be obtained from Dunedin North Medical Centre Reception but please allow 15 minutes to complete it prior to your appointment.

Travel Medical Form

Note: Enrolled patients of Dunedin North Medical Centre don’t need to complete Section B – Background Information, as this information is on file.

Everyone else please complete all four pages.