Dr Deb The Travel Doctor Brisbane - Vaccinations, Immunisations and Travel Health Advice For Overseas Travellers

Corporate Appointments - Brisbane City

This page is for our corporate customers who need an appointment at our Brisbane city clinic.

For our regular customers, my staff can issue each booking officer with a booking code, so you do not have to keep entering your phone number, email address, company details etc etc

Booking Code:	(If Applicable)
Person Making Appointment (Not Required If Booking Code Provided)
Your Name:
Company Name:
Address:
Phone Number (Bus.):
Mobile Phone:
Email Address:	(Confirm Email)
Person Requiring Appointment
Full Name:
Mobile Phone:	(To confirm appointment)
Date Of Birth:	To confirm patient identity and plan medical checks - extra tests are required over age 40
Have This Person Been To Our Clinic Before?	Yes  No If yes, approx year of visit?
Preferred Appointment:	Monday Tuesday Wednesday     Thursday     Friday Morning Afternoon
Requirements
Services Required:	Chart Review Only - Check requirements for proposed trip Travel Medicine Consult - Administer necessary vaccines, malaria, kit etc
Medicals Required:	The following medical checks require special paperwork - please indicate which type of medical is required: DD100 Medical Screen Visa Medical - PNG Visa Medical - Other country Altitude Medical Exxon LNG project requirements Regular Medical we do for your company Other Medical: Details:
Purchase Order:	Please email a copy of your purchase order or work order to appt@thetraveldoctor.com.au
Additional Information
Comments: