MedGlobal Questionnaire
Begin the process right here by filling out an MEDGLOBAL registration form.
Kindly answer below questions to enable us advice you adequately

Kindly tick the medical procedure you require assistance with

Childbirth
Orthopedic
Surgery
Therapy
Check Up
Other

Will you be travelling with a companion?

Yes No

Have you ever travelled abroad for any medical procedures?

Yes No

Any prior arrangements with a preferred Hospital or Doctor?

Yes No

Would you be requiring our consultations in any of:

Yes No
International Hospitals/Doctors Communication

Medical Bill /Installments Negotiation

Yes No

Hospital Transfers (First/subsequent visits)

Yes No

Post Telemedicine Consultations

Yes No

Visa advisory/documents (New born only)

Yes No

International Hospitals/Doctors Communication

Yes No

Medical Bill /Installments Negotiation

Yes No

Kindly tick other Jollof Travels services you would require

Travel Health Insurance
Hotel/Apartment Accommodation
Flight
Airport Transfers
Caregiver
International Passport
Visa
Other