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Intake Form - Passport Health

Intake Form - Passport Health 2025

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The document is a Passport Health Travel Patient Questionnaire designed to collect personal and travel-related information from patients. It includes sections for personal data, emergency contacts, travel details, health history, and immunization records. The questionnaire aims to assess the patient's health status and travel plans to provide appropriate medical advice and vaccinations before traveling.

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2009	4 Satisfied (46 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What services offered by passport health naperville vaccine clinic and immigration physicals?

Passport Health can help provide flu shots, TB testing, travel immunizations and biometric screenings for you and your employees.

What services are offered by Passport Health Los Angeles?

Located in the beautiful Miracle Mile, Passport Healths Los Angeles travel clinic offers all the immunizations and services you need to stay healthy abroad including typhoid, yellow fever and other travel vaccines. Schedule an appointment today by booking online or calling 323-297-0700.

Does Passport Health take insurance?

While Passport Health does not accept insurance, we do offer to submit a claim to your insurance provider at many of our clinics. In some case, a small fee for this service is applied. We also provide you with a receipt that has all the information needed for you to submit your claim.

Is the yellow fever vaccine not covered by insurance?

The yellow fever vaccine is rarely covered by insurance. It is usually paid for out-of-pocket. Costs can vary based on a variety of factors, including vaccine availability. Contact your local Passport Health to learn more about pricing in your area.

What does a yellow fever injection cost?

Most requested vaccines Yellow Fever Vaccine including Compulsory ConsultationR864,00 Trivalent Influenza Vaccine (All Inclusive) R120,00

Is Passport Health a reputable company?

About Passport Health Passport Health has an average rating of 2.9 from 816 reviews. The rating indicates that most customers are generally dissatisfied. The official website is passporthealthusa.com.

What is Passport Health app?

Passport Health clients now have quick and easy access to vaccines received in our network of travel clinics, booster reminders, travel itineraries and much more. Features include: --Medical History: Easily fill out or review your medical history before your appointment.

How do I cancel an appointment with Passport Health?

Yes, cancellation and rescheduling is available by phone, 1-888-499-7277. We do have a 24 hour cancellation policy for all appointments.

Intake Form - Passport Health 2025

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