Thai Travel Clinic

Hospital for Tropical Diseases
Faculty of Tropical Medicine, Mahidol University

Thai Travel Clinic - Health Questionnaire

 

General Information

Basic Travel Information and Medical Background

Please indicate the country that you have visited before Thailand on this trip
Please indicate your next destination after leaving Thailand
General Health Information
For female only
Special concern of this visit

Have you ever get the following vaccine before?
Travel vaccine
General vaccine

Please read and accept term&condition, then click submit and you will see a confirmation message.

Thai Travel Clinic, Hospital for Tropical Diseases,
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Copyright © 2005-2022 Thai Travel Clinic. All Rights Reserved. Terms of Services. Privacy Policy.

Thai Travel Clinic, Hospital for Tropical Diseases,
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Copyright © 2005-2022 Thai Travel Clinic. All Rights Reserved.
Terms of Services. Privacy Policy.