Let’s face it. Nobody wants to get sick or injured overseas. Yet according to a report published in the New England Journal of Medicine, between 20 and 70 per cent of international travelers report having had a travel-related illness.
Travel Questionnaire
Lately has your state of health changed in any way? What medical conditions do you have? What medications do you take? These are some of the important questions your pharmacist will ask before advising you of the vaccines they recommend.
Please print and send the completed form via email or FAX to your pharmacist/travel consultant:
Erica Shearer (13th St.)
erica@medicalartspharmacy.ca
Fax: 613-933-9796
Suzie Pilon (Montreal Rd.)
suzie@medicalartspharmacy.ca
Fax: 613-932-1479
Travelling overseas?
Before you depart, call Medical Arts!
Vaccines for Travelers
- Bacille Calmette – Guérin (BCG)
- Haemophilus Influenzae Type B (Hib)
- Hepatitis A
- Hepatitis B
- Herpes Zoster (Shingles)
- Human Papilloma Virus (HPV)
- Japanese Encephalitis
- Meningococcal disease
- Pneumococcal disease
- Rabies
- Typhoid
- Varicella (Chickenpox)
Counselling Received
- Appropriate Insect Precautions & Personal Protective Measures
- OTC Self-Treatment of Traveler’s Diarrhea
- Recognizing Severe Traveler’s Diarrhea & knowing when/how to treat
- Sun Safety (including sun/heat stroke prevention)
- Infection Control Measures (including food & water safety, hand hygiene)
- Discussed any recent travel advisories/outbreaks
