Please enter your information How did you get to know Iran Medical Care company? Information request form the patient Have you ever been treated of your illness or problem? YesNo If you know your vaccination history before you arrive in Iran, please specify PolioDiphtheriaRubellaMumpsYellow feverHepatitis AHepatitis BNone of themBlack coughChicken poxB C GTyphoidRabiesTetanus If you have any symptoms please specify Blood vomitingStomach or abdominal painFeverblurred visionRedness or swelling of the jointsAnorexiaBody or muscle paincaughShortness of breathInflation of the legs or handshair lossNone of themheadacheSkin scarringWeakness and lethargydiarrheaRhinorrheaBone fractureRed skin spotsore throatLoss WeightIn the wake of a joint