Medical Tourism Package Inquiry Form

Streamline Medical Tourism Inquiries with a Professional Digital Form

Medical tourism is a rapidly growing industry, with patients traveling internationally for affordable, high-quality healthcare. Whether you're a travel agency specializing in medical tourism or a tour operator coordinating healthcare packages, this Medical Tourism Package Inquiry Form helps you capture all the essential information needed to match patients with the right facilities, surgeons, and support services.

Built for Medical Tourism Professionals

This template is designed specifically for travel agencies, medical tourism facilitators, and tour operators who need to gather comprehensive patient information, procedure requirements, destination preferences, and logistical details in one organized submission. Instead of juggling email chains, phone calls, and incomplete intake forms, you can collect everything upfront and start coordinating care immediately.

The form captures critical details including procedure type, destination hospital preferences, surgeon credential requirements, recovery accommodation needs, medical records transfer authorization, insurance verification, and aftercare coordination—ensuring you have everything needed to provide accurate quotes and safe, well-organized medical travel packages.

Seamless Integration with Your Workflow

Built on Paperform, this medical tourism inquiry form integrates seamlessly with your existing tools. Send inquiries directly to your CRM, trigger follow-up email sequences, notify your medical coordination team via Slack, or use Stepper to automate multi-step workflows like requesting medical records, verifying insurance coverage, and scheduling consultations with partner hospitals.

With conditional logic built in, the form adapts based on the type of procedure, budget range, and specific patient needs—showing only relevant questions and keeping the experience streamlined for international patients who may already be navigating language barriers and complex decisions.

Professional, Trustworthy Design

Medical tourism requires a high degree of trust. This form template features a clean, professional design that reassures patients they're working with a legitimate, organized operation. Customize the colors, fonts, and branding to match your agency, embed it on your website, or share it as a standalone landing page on your custom domain.

With Paperform's SOC 2 Type II compliance and secure data handling, you can confidently collect sensitive health information and personal details, knowing that patient privacy is protected throughout the inquiry process.

Perfect for Healthcare Travel Agencies and Facilitators

Whether you're coordinating cosmetic surgery in Thailand, dental work in Mexico, orthopedic procedures in India, or fertility treatments in Europe, this template adapts to any medical tourism niche. It's ideal for agencies offering full-service packages that include medical consultations, hospital bookings, recovery accommodations, transportation, and post-procedure care coordination.

Start with this template, customize it to your specific destinations and specialties, and begin converting inquiries into booked medical tourism packages with confidence.