Heading out for an exotic vacation abroad? Although international travel can be extremely exciting, there is also something a little nerve-wracking about leaving behind the comforts and amenities offered in the United States, especially for first-time travelers or individuals who are visiting locals that are “off the beaten path.”

Thankfully, there are ways to make sure your trip goes smoother – before you even board the plane.  If you or your family are taking a trip out of town, stop by the AFC Urgent Care clinic in North Andover to speak with a physician about the precautions you can take to keep yourself healthy and fit for the flight. Our board-certified doctors and nurses can give you a full travel consultation on site, so you’ll know what to look out for on your travels, what medicines to bring from home, and what immunizations you should receive before leaving.

AFC Urgent Care in North Andover is a fully-licensed walk-in clinic that offers same-day appointments and extended weekday/weekend hours to patients at a fraction of the cost of typical Emergency Room care.

Name

Sex

Date of Birth (MM/DD/YYYY)

Phone

Email

Your Destination

Dates of Tip

Purpose of your trip

Are you currently treated for any medical problems

Have you has a significant medical problem in the past

Could you be pregnant?

Are you staying mostly in cities/tourist destinations

Are you going to spend time in a rural area

Are you going to spend time above 5000 ft

Are you going to work in the foreign country

Are you allergic to eggs or chicken products

Have you has any hypersensitivity or reaction to vaccinations

Have you had Guillain-Barre Syndrome

Have you had all of your childhood vaccinations

Have you had tetanus/diphtheria vaccination in the last 10 years

Have you had measles vaccination (2 shots)

Have you had polio vaccination as an adult

Have you had hepatitis A vaccination (2 shots)

Have you had hepatitis B vaccination (3 shots)

Have you had meningitis vaccination in the past 3 years

Have you had typhoid vaccination in the past 2 yeats (if injected), or in the past 5 years (if oral)

Have you had yellow fever vaccination in the past 10 years

Have you had Japanese encephalitis vaccination in the past 2 years

List current or previous significant medical conditions

List current medications

Comments/Questions