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VNA Travel Wise

Preparing for Your Visit to Our Travel Clinic

Please print and complete the Screening Questionnaire. Be as thorough as possible and answer all of the questions. Your immunization history and travel plans are important in determining your travel needs. Some countries require proof of specific immunizations before they will admit a traveler. Note: the screening questionnaire requires Adobe Acrobat Reader.

In addition to the Screening Questionnaire, please bring the following (if possible):
• World Health Organization International Certificate of Vaccination (WHO Yellow Book)
• Documentation of all your immunizations
• Travel itinerary with departure dates and all destinations

Our Travel Consultation will help identify the recommended or required vaccines based on your travel destination.

The immunizations VNA Travel Wise offers are:
• Hepatitis A
• Hepatitis B
• Hepatitis A/B (TwinRx)
• Influenza
• Measles, Mumps, Rubella
• Meningitis
• Polio
• Rabies
• Tetanus/Diphtheria/Pertussis
• Japanese encephalitis
• Pneumonia
• Tuberculin skin test
• Typhoid
• Yellow Fever

Please contact us with any questions.
VNA Manager of Community Programs (248) 967-8751
VNA Community Programs Assistant (248) 967-8755