Required Documentation

Once you have submitted part 1 of your required documents, you will be automatically redirected to part 2.

Required Documents

"*" indicates required fields

Name*

First Last

Email*

Trip Destination*

Passport Number*

Passport Expiration*

Copy of your passport's picture page. Make certain all numbers are easily read.*

Max. file size: 512 MB.

Picture of yourself*

Max. file size: 512 MB.

Provide a small file size

If you are a licensed healthcare provider, please upload the following in a PDF format.

Copy of your state medical license with expiration date

Accepted file types: pdf, Max. file size: 512 MB.

Copy of your medical/dental/other school diploma

Accepted file types: pdf, Max. file size: 512 MB.

Curriculum Vitae

Accepted file types: pdf, Max. file size: 512 MB.

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