International Travel
How to Become an International Travel Clinic in the State of Indiana
An International Travel Clinic provides pre-travel individualized risk assessments and education about health concerns to patients and provides necessary prophylaxis and vaccinations (including yellow fever vaccine) as recommended or required for travel abroad to a given destination. Travel immunization, prophylaxis, and other health concern guidelines are available by destination at http://www.cdc.gov/travel.
Yellow fever vaccine is the only required vaccine for travel to some countries. Some countries not designated as yellow fever risk areas require vaccination documentation if the traveler is arriving from a risk area.
Providers who wish to become International Travel Clinics and administer yellow fever vaccine must be approved by the Indiana State Department of Health (ISDH). Any physician (M.D. or D.O.) licensed in Indiana is eligible to become a certified yellow fever vaccine provider. The process for becoming a certified yellow fever vaccine provider is as follows:
- Review the application and verify that you meet the requirements to become a certified yellow fever vaccine provider.
- Order the Uniform Stamp. Uniform stamps can be ordered at a local stationary store. Physicians will use their Indiana medical license number for the third line of the uniform stamp, while local health departments will use county and city codes.
- Fax the completed application form (including imprint of Uniform Stamp) to the ISDH at 317.233.3719.
Upon receipt of your application, ISDH staff will verify that all information is complete and accurate. Your approval to administer yellow fever vaccine will be submitted to Sanofi Pasteur (manufacturer of yellow fever vaccine), and orders can be placed directly through this manufacturer. Note that yellow fever vaccine is shipped only to certified providers at the address indicated on Yellow Fever Vaccine Certified Provider Application Form.
Yellow Fever Vaccine Certified Provider Resources
Yellow Fever Vaccine Certified Provider Application Form
Yellow Fever Vaccine Certified Provider Change of Address Form
Yellow Fever Vaccine Certified Provider Withdrawal Form
International Certificate of Vaccination or Prophylaxis Booklet (WHO)
International Health Regulations (WHO)
Yellow Fever Vaccine Requirements by Country (CDC’s Yellow Book)
Format of Yellow Fever Uniform Stamp
Vaccine Adverse Event Reporting System (VAERS)
Sanofi Pasteur (Yellow Fever Vaccine manufacturer)
Vaccine Order from Sanofi Pasteur
Vaccine Information Statements (including Yellow Fever)
Yellow Fever Vaccine Package Insert (including Storage and Handling Guidelines)
City and County Codes for Use by Local Health Departments Only
This page last updated on August 17, 2009.
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