410-788-2350
Catonsville Travel Vaccines Clinic
We provide several options for completing the Travel Questionnaire and
Health History. Non-Travelers just need to complete the Medical History
section.
We must have this questionnaire completed and submitted to us in
advance of your office visit.

The Travel Questionnaires (and Vaccine and Medication requests) may be:

1) completed online by clicking the link below:




2) downloaded then faxed (410-788-6859) or mailed to our office. Just click the
link below to download. Adobe Reader is required and may also be
downloaded.





3) mailed or faxed to you- please contact our office at 410-788-2350, or by
email, or fax.
TRAVEL QUESTIONNAIRE and  
MEDICAL HISTORY