|International Travel Consultation Record
After completing the information below, simply click the [Submit Form] tab. Your
information will be reviewed; and you will then be contacted with the needed
immunizations for your travel destination.
Certain health conditions can dramatically increase a traveler's risk. If you are
pregnant or have a chronic medical condition (i.e. allergies, asthma, diabetes,
epilepsy, cardiac problems, HIV infection, etc.) be sure to note that in the Special
Medical History /Medication section..
|If you should have any questions or concerns,
please e-mail Shelley Yoder, RN, Director of Clinical Services.
|NOTE: This is a service for Marion County, Illinois,
and surrounding counties only.