Health Inventory

Please help us in serving your needs effectively by filling out this health inventory form.

NOTE: This is a confidential record of your medical history and will only be used in case of emergency while you are traveling with Extend Global. You will be asked to fill out a new form for each trip. 


You can fill out the form online or email the fillable PDF here.

Please contact us if you have any questions!

Fill it out online          Download the PDF