• 24 hour numbers
  • Urgent Care
    • 617-253-1311
  • Urgent Mental Health Concerns
    • 617-253-2916
  • Violence Prevention & Response
    • 617-253-2300
  • All contact numbers
  • Close

Travel Clinic Consultation Request

Submitting this form is just one way to request an appointment. If you prefer, you may call the Travel Clinic and leave a message at 617-258-9355. We will return your call within three business days.

What are the dates of your travel?

Does your destination country require a COVID-19 vaccination certificate with a QR code?
Are you traveling for MIT-related business?
Will you be traveling to destinations with elevations greater than 8,000 ft. (2,500 meters)?
Preferred appointment day:
Check all that apply.
Preferred appointment time:
Check all that apply.

If you have not already done so, sign up for HealthELife, MIT Medical’s online patient portal.

When you come to your first appointment, please bring any immunization records that are not already in your MIT Medical record.