Medical Questionnaire

This Medical Questionnaire must be completed if you are:

• age 60 to 74 traveling for more than 60 days' or
• age 75 and over

You can open and print the questionnaire by clicking on the link below, and return it to Carine Taylor via email at ctaylor@tpi.ca or by fax at 613-383-0223:
MEDICAL QUESTIONNAIRE


Here is a snapshot of what page 1 of the questionnaire looks like:

Snapshot of Page 1