Instructions on filling out medical form. Please read
carefully.
1. Print out this
form.
2. Sign and date the form.
3. Leave blank departure date.
3. Under the signature print your child's name, passport
number and date of birth.
4. Fax the second page (the one with the signature) to
us at 347- 823-1183.
5. If you have a previous medical condition you must also
fill out this form and fax to us at
34-7-823-1183.
Feel free to call us with any questions. 718-338-2785