What areas or regions within that country will you visit?

Departure date:

Let us know when you are departing.

Return date:

Let us know when you are returning.

Will you be staying in rural areas?

Are you travelling for work, holiday, or visiting family/friends?

Have you used malaria prevention tablets before?

Do you have any known allergies to medicines (especially antimalarials)?

Are you pregnant, planning pregnancy, or breastfeeding?

Do you have any medical conditions, including:

Are you taking any regular medicines, including antibiotics or contraceptive pills?

Do you understand the following?

• No tablet gives 100% protection against malaria and that mosquito bite prevention is also essential
• When to start and stop your malaria tablets based on your travel dates