Travel Questionnaire


Please note, this travel clinic is ONLY for Carleton University students, faculty and staff. Non-students or staff will not be accepted. If you are unsure of your eligibility, please contact Carleton Health Services to confirm eligibility (generally within 6 months of graduating is deemed acceptable). Likewise, as stated in the FEES, the cost of a consultation is $65.

Please ensure you bring your insurance information with you (the card itself, or a picture of the card front and back) to the appointment if you are a new patient so that we can bill any vaccines or medications through your insurance plan(s).

Once you have submitted the questionnaire please call the pharmacy at 613-526-3666 to set up an appointment.  Appointments will only be made once the questionnaire has been completed.