Thank you for choosing Botsford International Travel Clinic for your travel needs. We respect the time you have set aside to ensure you are healthy during your travel. Please allow at least 1 hour for your consultation and administration of travel vaccines.
We ask that you bring the following information listed below for each person being seen:
- Completed New Patient paperwork
- Picture ID (example: Drivers License)
- Insurance Care
- Immunization Record (if applicable)
- Travel Itinerary
- Doctor Orders or Prescription (if applicable)
Interactive Forms:
Authorization for Treatment
Privacy Notice
Privacy Notice Acknowledgement
Patient Registration
Travel Medicine Clinic
All forms must be filled out, signed and submitted together in one package to the Travel Clinic.
Ways to submit:
- Fax: (248) 471-8864
- Email:
- Interdepartmental Mail to the Travel Clinic
If you should have questions before your appointment or need to reschedule, please contact us at (248) 471-8920.
