FORMS
New Client
(Travel) Form
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
Adult Immunization Form
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
Yellow Fever Immunization
Yellow fever vaccination is recommended for persons over 9 months of age travelling to or living in areas with endemic yellow fever. Our clinic administers yellow fever vaccination to children, parents / guardians and adults travelling solo.
Download relevant Stamaril forms before visiting our clinic:
child | patient guardian | adult
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 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
