Get Travellers' Healthcare Information Form

Completing the Travellers' Healthcare Information Form online is crucial for ensuring that your health information is accessible in case of an emergency while traveling abroad. This guide provides a detailed, step-by-step approach to filling out each section of the form accurately and efficiently.

Follow the steps to complete your form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your emergency contact's name, address, phone number, and email address. This person will be contacted first in the event of an emergency.
3. If you have an alternate emergency contact, provide their name, address, phone number, and email address as well.
4. Fill in the details of your primary healthcare provider or doctor in Canada, including their name, address, phone number, and email address.
5. Indicate the date of your last physical examination or checkup.
6. For your travel information, list the name, address, phone number, email address, and website of the property, resort, or hotel where you will be staying. Repeat this for any additional accommodations.
7. If you have an emergency contact at your destination, provide their name, address, phone number, and email address.
8. Include the name, address, phone number, and email address of any hospital or clinic at your destination.
9. If applicable, enter the primary healthcare provider or doctor at your destination, including their name, address, phone number, and email address.
10. List the closest Canadian embassy, consulate, or high commission office to your destination, including their address, phone number, and email.
11. Provide details about your out-of-country health insurance provider, including the name of the provider, policy number, details of your insurance policy, and emergency phone number.
12. For any other insurance providers (like life, travel, vehicle), fill in their name, policy number, additional details, and emergency phone number.
13. Record important medications, including the name of the drug (both generic and trade), prescribed dosage, reason for taking it, the pharmacy's name and phone number, and medication refill number.
14. Note any important health information your emergency contacts should know, such as pre-existing medical conditions, allergies, or other relevant health issues.
15. Attach a copy of your immunization record and any glasses or contacts prescription data for reference.
16. Once all sections are filled out, review the information for accuracy, and then save your changes. You can download, print, or share the form as needed.

Complete your Travellers' Healthcare Information Form online today to ensure your safety while traveling.