Travel Medical Questionnaire

Before attending a Travel Consultation please click on the link below to open the Travel Medical Questionnaire. Please print it, fill in the requested details and be sure to bring it with you to the consultation.

PDF Travel Medical Questionnaire

Note: Enrolled patients of Dunedin North Medical Centre only need to complete Section A, the first two pages of the questionnaire as your background information is on file.

Everyone else please complete all three pages.