A couple of boats floating on top of water.

Complete This Form For a Travel Consultation

Travel Consultation Form

MM slash DD slash YYYY
Departure Date
MM slash DD slash YYYY
Return Date
Destination(s): Please tell us which countries and cities are you visiting.
Are you traveling with your child(ren) under 5 years old?(Required)
MM slash DD slash YYYY
TO BE CONFIRMED BY EMAIL
Preferred Appointment Time(Required)
:
Travel Appointment Hours: Monday-Friday 10am-4pm only
Traveler no 1's Name
MM slash DD slash YYYY
Traveler no 1's Birth Date
Traveler no 2's Name
MM slash DD slash YYYY
Traveler no 2's Birth Date
Traveler no 3's Name
MM slash DD slash YYYY
Traveler no 3's Birth Date
Traveler no 4's Name
MM slash DD slash YYYY
Traveler no 4's Birth Date
Traveler no 5's Name
MM slash DD slash YYYY
Traveler no 5's Birth Date
Injection Fee is $20 per vaccine.(Required)
This field is for validation purposes and should be left unchanged.

Injections and other fees

We charge $20.00 of injection fee per vaccine. Please note that the injection fees do not include the costs of the vaccines.