Activate VisitorCare

This creates your VisitorCare pass and a CrossCare case. If you already have a CrossCare record, this trip is added to it rather than creating a second one.

About you

Full name

Phone

Date of birth

Nationality

Preferred language

Your trip

Country you live in

Country you are travelling to

City

Reason for travel

Arrival date

Departure date

Pilot programme (optional)

Emergency contact

Name

Relationship

Phone

Country

I agree CrossCare may contact this person about my care while I am away.

Insurance (optional)

CrossCare records insurance details so a coordinator can contact your insurer. CrossCare does not confirm, approve or guarantee cover, and is not an insurer.

Insurer

Policy reference

Assistance phone

Policy country

I do not have travel or health insurance.

Health information (optional)I consent to CrossCare storing the health information below so a coordinator can help faster. It is only stored if this box is ticked.

Existing conditions

Medications

Allergies

I understand CrossCare coordinates access to licensed local healthcare providers and is not an emergency service, an insurer or a clinician.

CrossCare VisitorCare coordinates access to licensed local healthcare providers. It is not an emergency service.
CrossCare does not diagnose, prescribe or decide treatment. Clinical decisions belong to licensed clinicians.
In a life-threatening situation, contact local emergency services first.