Travel Vaccine Form
Leaving the Country?
Please fill out this form so we can start the research process and tell you what vaccines you will need:
Helpful Vaccination Links:
- Adult vaccination schedule (CDC):
http://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule-easy-read.pdf - How to check if your vaccination is covered by Medicare:
http://www.medicare.gov/coverage/shots.html - Immunizations and Pregnancy (CDC):
http://www.cdc.gov/vaccines/pubs/downloads/f_preg.pdf
http://www.cdc.gov/vaccines/pubs/downloads/f_preg_chart.pdf - Information about vaccinations if you have COPD or Asthma:
http://www.cdc.gov/vaccines/hcp/patient-ed/adults/downloads/fs-asthma-vaccines.pdf - Information about vaccinations if you have Heart Disease:
http://www.cdc.gov/vaccines/hcp/patient-ed/adults/downloads/fs-heart-disease-vaccines.pdf - Information about vaccinations if you have Diabetes:
http://www.cdc.gov/vaccines/hcp/patient-ed/adults/downloads/fs-diabetes-vaccines.pdf