International Travel

"Keeping your travel services close to home"

In order to facilitate your travel care needs, please read the following:
  • Fill out the international travel form below and fax to 410-825-4945 or email to PODMAPPT@mdpedgrp.com. Please include an itinerary if possible.
  • An MPG clinician will review your request and travel itinerary in order to make recommendations according to CDC guidelines, your child’s vaccine and medical history for a fee of $25.00.
  • If your child requires vaccines or prescriptions that are provided at MPG, you will receive a phone call to schedule an appointment to provide these services. An additional $50.00 will be charged at the time of the service.This service is not covered by insurance. However, any routine vaccinations that are required will be submitted to your insurance company.
  • If the services recommended are not able to be provided by MPG, a referral to the proper travel service will be provided.
To fill out forms and submit electronically, please use the links below:

International Travel Form

To print and handwrite the form, please use the link below:

International Travel Form