Confidential Medical Information

The submission of this completed form constitutes an agreement between you and Icetrek Expeditions that all of the information provided is true and not intended to mislead Icetrek or misrepresent you. All fields are mandatory. Write No or NONE if any medical conditions don't apply.

.

Are you over 65?

Emergency Medical Evacuation (Medevac) insurance is required for all North Pole and South Pole/Antarctic trips. Medevac insurance is not mandatory for our other trips however we recommend that you have personal medical cover.

Options
Disclosure
Statement
© Icetrek 2024. All rights reserved.