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Medical Form

GENERAL INFORMATION

The information you provide to Phaedrus India Expeditions Pvt Ltd in this form will be held in the strictest confidence, and will be used only to the extent necessary to provide necessary emergency medical care and/or evaluate fitness for travel. Please note that this may include transmitting your data overseas to any countries to which you may be visiting, or to Phaedrus India’s global office, but only as required. The collection, use, and disclosure of your personal information is governed by the Phaedrus India’s Privacy Policy, which can be accessed any time at https://www.theindiamotorcycletourco.com/privacy-policy/

 

 Who Should Complete This Form?

All travellers must complete all sections. The more information Phaedrus India Expeditions Pvt Ltd (hereinafter called the “Company” or “Phaedrus India”) has, the more we may be able to assist in the unlikely event of an emergency or  to provide other medical assistance.

Please note Phaedrus India will assess the information contained in this form, and reserve the right to ask for a physician assessment for any traveller.

You should always consult with your physician and anyone else familiar with your medical history and needs before embarking on any adventure travel. Please ensure that you have confirmed with a medical professional that you are medically fit to embark on the tour you have booked.

Why do I need to complete this form?

Our tours might include areas where limited or no sophisticated medical facilities exist. A medical emergency situation is extremely unlikely; however, should it arise we are armed with the necessary information to help you.

Generally, our tours are intended for travellers in reasonably good health for their safety, along with that of their fellow travellers.

You must provide complete, accurate, and up-to-date information on this form in order to allow Phaedrus India to ensure your and your fellow travellers’ safety and well-being on the tour. If you do not disclose a condition, infirmity, injury, or ailment herein and are subsequently deemed to be unfit for the tour due in whole or in part to such condition, infirmity, injury or ailment, Phaedrus India shall have the right to remove you from the tour with no refund or compensation payable.

If there are any changes to your physical/medical condition or otherwise to your responses below after your submission of the form, you must notify the Company immediately of that change. Phaedrus India reserves the right to request an up-to-date certification from a licensed physician in the event of such a change.

What happens if I don’t complete this form?

In the event you have made a booking with Phaedrus India and subsequently are unable or refuse to complete this medical form for any reason by the final payment date as specified in our terms and conditions, the Company reserves the right to consider your booking cancelled as of that day and applicable cancellation penalties will apply.

How do I complete this form?

It is important for your  health and safety that you complete all questions fully and truthfully. In the event of a medical emergency, the information you have provided could be crucial.

 

 

Complete The Form

    SECTION A – GENERAL INFORMATION

  • SECTION B – INSURANCE DETAILS

  • SECTION C– MEDICAL INFORMATION

  • SECTION D – MEDICAL PRACTITIONER DETAILS

  • Enter Your Email

 

Verification

(Print this document & then fill the section below)

Date

Place

Signature