Travel insurance medical questionnaire tic supports the organization identify the specific needs of each of their customers. ICT is one of the leading players in the industry in Canada travel Medicare and offers medical travel insurance plans for Canadians, international tourists, students and expatriates among others. Travel insurance tic medical questionnaire enables the company to adapt their travel medical insurance plans and offer the best bargain for their clients.

Tic Travel Insurance Medical Questionnaire Sample:



  1. Participant Name:
  2. Insurance Number:
  3. Citizenship: _______________ (Other than Canada)
  4. Purpose of the trip: ____________________________ (for international tourists, visitors and students)
  5. Email: _____________________________
  6. Phone Number: ____________________________
  7. Date of Birth: ___________ Gender: _____ (M/F)

  9. Have you ever been the subject of a travel medical insurance ICT?
  10. How many times have you travel to Canada or outside of Canada?
  11. Were you diagnosed with one of the following conditions?
  12. Have you been diagnosed or processing or inquiry in the last 24 months for one of the following conditions?
  13. You are looking for coverage for all your pre-existing medical facilities if they are quoted here or not?