Medical

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Collecting medical information from expedition participants enables expedition organisers to prepare a suitable medical kit and guides medical decisions in the field.

The information you provide will be kept confidentially by the medical team; please complete it fully and honestly. Read through the form before you start completing it. Ask questions if you don’t understand anything. Be aware that failure to disclose a medical condition can invalidate insurance and prevent evacuation and repatriation.

Personal Details

As appears on your passport
As appears on your passport
As appears on your passport
Address
Address
Address Line 1
Address Line 2
Zip/Postal
City
Country

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