Vaccination Information
Why do I need to get vaccinations?
We want you to stay healthy during your mission outreach. One of the best ways to do this is to prevent diseases before they start. The risk of illness is low but you may reduce this risk further by being inoculated. All of the diseases are more uncomfortable than the shot and some may even be fatal.
How do I know what vaccinations to get?
The information that is compiled is provided by the Centers for Disease Control and Prevention (CDC), which is dedicated to protecting health and promoting quality of life through the prevention and control of disease, injury, and disability for the past 60+ years. They recommend certain vaccinations for all foreign travelers. We also remain in contact on the field with our partners to gather information where you will be ministering.
Where do I go to get these vaccinations?
The required vaccinations are not covered under the cost of your mission outreach. You will need to contact your local county health department or your health care provider to schedule these vaccinations. To have the most benefit, see a health- care provider at least 4 - 6 weeks before your trip to allow time or your vaccines to take effect and to start taking medicine to prevent malaria, if you need it. Some vaccines are multi-shot series.
Listed below are the required and recommended vaccinations based on the standard recommendations from the CDC for travelers to foreign countries and the additional immunizations that pertain to each location represented. Please note that the level of risk for vaccine-preventable diseases can change at any time. For more information go to cdc.gov and search under travelers health.
Suriname

Required: Tetanus – Diphtheria (last 10 years) * Hepatitis A

Recommended: Typhoid * Measles (MMR) * Hepatitis B * Malaria * Yellow Fever

India
Required: Tetanus – Diphtheria (last 10 years) * Hepatitis A * Malaria

Recommended: Japanese encephalitis * Typhoid (highly recommended) * Measles, Mumps, Rubella (MMR) * Hepatitis B * Polio & Varicella (Chicken Pox)

Jordan or Egypt
Required: Tetanus – Diphtheria (last 10 years) * Hepatitis A

Recommended: Typhoid Measles (MMR) * Hepatitis B * Polio

Guatemala or Dominican Republic
Required: Tetanus – Diphtheria (last 10 years) * Hepatitis A

Recommended: Typhoid * Measles (MMR) * Hepatitis B * Polio & Varicella (Chicken Pox)

Boston and Springfield
Recommended: Tetanus – Diphtheria (last 10 years)
Ukraine
Required: Tetanus – Diphtheria (last 10 years) * Hepatitis A

Recommended: Measles (MMR) * Hepatitis B * Polio

Vaccinations Received
Yes
No
Diphtheria - Tetanus - Pertussis (DTAP)
Date(s) Received and Administered By
Your answer
Yes
No
Hepatitis A
Date(s) Received and Administered By
Your answer
Yes
No
Hepatitis B
Date(s) Received and Administered By
Your answer
Yes
No
Typhoid
Date(s) Received and Administered By
Your answer
Yes
No
Japanese Encephalitis
Date(s) Received and Administered By
Your answer
Yes
No
Polio
Date(s) Received and Administered By
Your answer
Yes
No
Measles (MMR)
Date(s) Received and Administered By
Your answer
Yes
No
Malaria
Date(s) Received and Administered By
Your answer
Yes
No
Rabies
Date(s) Received and Administered By
Your answer
Yes
No
Yellow Fever
Date(s) Received and Administered By
Your answer
I have read this document in its entirety. I am fully aware of the diseases and risks associated with my traveling abroad on a mission outreach with Extend Global. I understand that Extend Global staff are not health care professionals and do not represent themselves as such. It is my judgment that the above listed inoculations are what I choose to obtain for this mission. I release Extend Global and its representatives from all liability for such decisions or actions as may be taken in connection therewith.
Signed
Your answer
Signed (Legal Guardian/ Parent if under 18)
Your answer
Date
MM
/
DD
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YYYY
By selecting the "I Accept" button, you are signing the Vaccination Form electronically. You agree your electronic signature is the equivalent of your manual/handwritten signature.
Please submit a copy of your immunization card or records to Extend Global in addition to this form if available.
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