Questionnaire

If you wish to have an e-mail consult with Dr. Boraston, please complete this questionnaire and submit it. The fee for this service is $60 per person. Travel assessments by email are available for travelers who live outside the Lower Mainland and cannot access the Travel Clinic. You will receive the assessment via email and prescriptions via fax. Recommended vaccines can be administered at a clinic in your area. Please ensure that you have a health care provider who can administer the recommended vaccines and please have the fax number of your pharmacy ready in order to fax prescriptions for you. You acknowledge that if you choose to use email, it may not be secure or reliable and you assume all risks associated with its use. VCH does not take any responsibility for ensuring that the form is securely delivered to us.