Travel Consults and Yellow Fever Vaccine Appointments

Travel Consults and Yellow Fever Vaccine Appointments

Planning international travel? Tarrytown Pharmacy offers travel consults to go over which vaccines you may need before your trip and other helpful information. Additionally, some countries require or strongly recommend a Yellow Fever vaccine. This appointment fulfills the CDC requirement for a Yellow Fever vaccine consult. Tarrytown Pharmacy offers multiple ways to schedule a travel consultation in order to best fit the scheduling needs of the traveler: in-person, via telephone, or consultation via e-mail.

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E-mail Travel Consultation

We now offer travel consults via e-mail for those patients whose time is limited and need more scheduling flexibility! With an e-mail travel consultation, a Tarrytown Pharmacy pharmacist will reach out via e-mail within 3 business days to go over any information concerning travel updates, required and recommended immunizations, and answer any questions you may have. The e-mail travel consultation may involve multiple e-mails back and forth to gather information and answer questions. The pharmacist can then schedule a quick vaccine appointment for you to come and get the requested vaccines at your convenience. *By selecting this option, you are consenting to us discussing HIPAA information via email.

$49.99 Quantity

In-Person Travel Consultation (30 minutes)

During a travel consult, a Tarrytown Pharmacy pharmacist will provide information concerning travel updates, required and recommended immunizations, and answer any other questions you might have. The vaccinations requested can also be given at this time.

$49.99 Quantity

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Important Details:
- The CDC requires a "Pre-Travel Consultation" for people receiving the Yellow Fever Vaccine
  - If you have insurance, we process prescription insurance to see if they will help cover some or all of the cost
  - Uninsured or cash-pay patients are welcome
- The cost of this consult is not refundable if you cancel the appointment.
- Please note- medication for malaria prevention is often recommended for travel to many countries. We will go over the recommendation with you, but we do not have a provider on staff who can write a prescription for malaria prevention. If needed, your primary care provider or other physician would need to write a prescription for the medication.
- Please bring a copy of your vaccine records to the appointment, if available.
Appointment Scheduling

If you don't see a date or time that works for you, please call the pharmacy at 512-478-6419 to see if we can accomodate a different appointment time.
In-Person Travel Consult or Yellow Fever Appointment
Telephone Travel Consult or Yellow Fever Appointment
Traveler Information and Demographics
Please indicate how many people are needing a vaccine/consultation:
Traveling Patient Name:

First NameLast Name
Traveling Patient Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Cell Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Traveling Patient Email:
example@example.com
Traveling Patient Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Patient Names for Group (please complete all fields for each patient):

Rows	Indicate Patient Needing Vaccine/Consult (Yes/No)	Patient Name:	Date of Birth: (mm/dd/yyy)	Patient Gender:	Patient Address:	Patient Cell Phone #:	Patient Email:
Patient 1
Patient 2
Patient 3
Patient 4
Patient 5
Patient 6

Primary Contact for Group

First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please upload a photo of your prescription and medical insurance cards: (if applicable). If no insurance is uploaded, we will process your vaccines at the cash price and might call you to discuss pricing and payment in more detail.

Cancelof
Patient Sex:
Where will you be traveling? (Please list all countries and cities)
Please select your reason for traveling:

Other
What areas will you be staying in?

Other
What date will you be leaving for your trip?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How long will you be traveling?
Do you know of any required immunizations that you need before traveling?
What required immunizations were you told you needed?

Health Questionnaire:

Rows	Yes	No	I Don't Know
Do you have any chronic medical conditions? (kidney or liver disease, diabetes, etc)
Do you have any drug allergies?
Do you have a severe allergy to eggs?
Do you have any immunocompromising conditions?
Do you expect to come in contact with animals on your travels?
Have you traveled internationally before?

Please tell us any other information you'd like us to know, or questions you would like us to help answer:
How did you hear about our travel services?
Should be Empty:

Travel Consults and Yellow Fever Vaccine Appointments

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Important Details:

Appointment Scheduling

Traveler Information and Demographics