International Travel Itinerary Form


The Student Health Service is no longer accepting requests for travel consults for anyone traveling before July 1, 2019.  Community resources you can contact for your travel needs are:

  1. Passport Health: 336-768-0717

  2. Wake Forest Baptist Medical Center Travel Clinic: 336-716-4395

Students who are traveling to international destinations should complete the following questionnaire to assist the Student Health Service in determining if vaccines and medications are needed to prevent travel related illnesses. The Student Health Service will review this information and contact you about scheduling an appointment if vaccines and medications are needed for your particular itinerary. Simply fill in the blank or click onto the correct response for the questions below and SUBMIT.

Form unavailable.  Please contact resources above for assistance.  Please email if you have any questions.