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Last Name: *
Date Of Birth (dd/mm/yyy): *
Email Address: *
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Select your TMA Member Location?
Have You Been To This Location Before?
If yes, approx what year?
Preferred Appointment:
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If travelling for work, do you require any particular forms or paperwork to be completed as a result of your visit?
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Anyone under 12 yrs coming to the appt?
How did you find out about the Travel Medicine Alliance?
Comments:
“

Arriving at each new city, the traveler finds again a past of his that he did not know he had: the foreignness of what you no longer are or no longer possess lies in wait for you in foreign, unpossessed places.

- Italo Calvino - "Invisible Cities"”
“

Remember that happiness is a way of travel, not a destination.

- Roy Goodman”

Travel Health Information

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