Travel Clinic MD

FORMS

Travel Form
(for New Clients)

If you are a new client in need of travel advice and immunizations, please download, print, and complete our new client form before your appointment.
New Client Form

Download the form as a pdf file

Immunization Form
(for work or school)

If you are a new client in need of routine adult immunizations (not travel immunizations), please download, print, and complete the immunization form before your appointment.
Adult Immunization Form 

Download the form as a pdf file

Note: Adobe Acrobat Reader is required to view any of the above forms. Click here to get your free copy of Adobe Acrobat Reader.

Insurance

The Travel Advisory & Immunization Clinic does NOT accept any insurance.
Payments must be made when services are rendered.
We accept cash, major credit cards and checks for no more than $200.00. 

Find Us

2301 Research Blvd, Ste 125
Rockville, MD 20850
T: 301-738-6420 | F: 301-990-3534
www.travelclinicmd.com
www.ohcmd.com

The Travel Advisory and Immunization Clinic is accessible through an EXTERIOR entrance on the South Side of the building