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Travel Clinic Patient Forms

To minimize your time in the waiting room, please follow the steps below. Receiving your important health history helps us prepare for your visit. Thank you and we look forward to seeing you soon!

  1. Download and complete the form below.
  2. Print the completed form.
  3. Mail or fax the completed form to our practice at least two weeks prior to your appointment. If your appointment is less than two weeks away, please bring it to your appointment.

If you prefer to complete patient forms in our office, please arrive 30 minutes prior to your scheduled appointment time.

Note: Infectious Diseases patients do not need to complete the Travel Clinic form. If you need the Infectious Diseases forms, please click here.

Travel Clinic – Review of Systems

If your last visit to any VHC Physician Group practice was within the last year, please complete, print, and mail/fax this form to our practice or bring it to your appointment.
Review of Systems Form

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