Covid-19 Testing

Travel Vaccines

Hepatitis A/B, Typhoid, Yellow Fever

Please call for details

Call Us Today!

(908) 781-7171

Age(s) of Any Additional Travelers: *

Please enter specific travel information about your trip so that our physician may begin to research which vaccinations are recommended and/or required based upon your destination. If known, please indicate those vaccinations that you will need prior to traveling.

Primary Travel's Name: *

Primary Travel's Mailing Address: *

Travel Date(s): *

Optional Upload of Travel Itinerary or Past Vaccination Record

All Planned Travel Countries, Cities and Layovers: *

Reason for Travel: *

Email Contact: *

Check here to receive email updates

Best Phone Contact Number: *

Where will the travel(s) stay? *

Primary Traveler's Date of Birth: *

ADVANCE BENEFICIARY NOTICE OF NON-COVERAGE: You are receiving this notice because your health insurance company will not likely pay for any travel-related vaccine(s) as well as any associated services (i.e., exam). Your insurance may cover some of or all of these costs if you obtain them from a local pharmacy or a primary care provider. *

Additional Comments/ Questions:

Travel Vaccination Inquiry

Animal / Wildlife Risk: *

Possible direct contact with dogs, bats or other animals.

Contact not anticipated.

Is the primary traveler an exisiting patient of Somerset Valley Urgent Care? *

Yes

Just minutes off of interstates 287 and 78

Covid-19 Testing

Travel Vaccines

Call Us Today!

(908) 781-7171​

Please enter specific travel information about your trip so that our physician may begin to research which vaccinations are recommended and/or required based upon your destination. If known, please indicate those vaccinations that you will need prior to traveling.

Somerset Valley Urgent Care

(908) 781-7171