BACMT Patient Forms
Please download and complete the following forms for medical tourism to Costa Rica and Puerto Rico:
| bacmt_imtc_medical_tourism_form.pdf |
| bacmt_imtc_patient_information_form.pdf |
| bacmt_imtc_medical_history_questionnaire.pdf |
| bacmt_facilitator_medical_waiver.pdf |
Please download and complete the following form for medical tourism to Spain:
| bacmt-bisi_health_questionnare.pdf |
Once all four forms are completed, please fax them to BACMT at 877.240.8470.
