Group Booking Form | Immigration Medicals

Please make sure you only fill the form out ONCE for your group/family.

First name

This is the email address we will be contacting to discuss the bookings.

Phone

Please fill in YOUR address information.

Street Address

Unit/Apartment Number

City

Postal Code

How many people are you booking for?

If you are booking for 2 or less, please return to the previous page and request both appointments individually.

Do all individuals live in the same address as you?

If the answer is NO, we will send you an email requesting for each individual's address.

Age group of individuals

List the number of people per age group:

0 - 14 (child)

15 - 69 (adult)

70 and older (senior)

I agree to be the main contact for this group/family booking. I will be ready to provide information regarding each individual when requested.

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