List ALL Countries and ALL Cites in order of visit
Include ANY stopovers in Africa or South America
Countries and Cities
Will you be:
Visiting areas that are:
Previous international travel:
Previous international travel
HEALTH HISTORY (Check all that apply):
Have you received the following immunizations?
Prescription medications: List all current prescription medications
WARNING - if you use any form of Cannabis, be advised it is illegal in many foreign countries and you could be detained
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