Travel Awakens Leaders

X05_ELP Authorization and Health History Forms- Non-Vaccine

Pre-Travel Health Consultation & Required Vaccines

All Fellows must complete their pre-travel health consultation with their primary care doctor and obtain up-to-date vaccines and/or medication listed below. All pre-travel health consultations must be completed by the necessary deadlines.

This program requires the following vaccinations:

  1. COVID-19 - responsibility of the Fellow

  2. Yellow Fever

  3. Typhoid

  4. Hepatitis A

  5. Malaria prophylaxis (oral) - responsibility of the Fellow, the cost of which is determined by your primary insurance provider. Please visit your primary care provider for a consultation and prescription for the appropriate malaria prophylaxis pill, or plan to pay $45 to the FL Health Department for a consultation on June 2nd.

Vaccines 2-4 will be covered by Nyah Project as part of our group immunization day at the local health department:

Thursday, June 2nd at 8:00 AM - 1:00 PM: Pre-travel health briefing and mandatory vaccinations for fellows. Appointments will be done hourly between 8 AM - 1 PM.
All Fellows under the age of 18 MUST have a legal parent/guardian present to be vaccinated.

Please click HERE to sign up for your time slot (8-9 AM, 9-10AM, 10-11AM, 11AM-12PM, or 12-1PM)

Location: Health District Center (1350 NW 14th St., Miami, Fl 33125 | 2nd Floor Immunization Clinic)
Parking: Free parking is available on the premises.

*If you CANNOT attend the health briefing, please advise Nyah Project staff to figure out an alternative plan. You may be responsible for getting the same vaccinations on your own time.

THE FORMS BELOW MUST BE COMPLETED, SIGNED, & RETURNED TO INFO@NYAHPROJECT.ORG BY MONDAY, MAY 30th, 2022.