ÂÌñ»»ÆÞ

• Destination(s): Country, State/Province/Region, City, Zip/Postal Code
• Lodging(s): Name, Street Address, Phone
• Hospital or Medical Facility: Name, Street Address, and Phone

Have you completed the international travel registration process?

• Yes: Attach your approval email.
• No: (100 words maximum) Explain your plan to complete the international travel registration process.