Traveler Health PDF Form

The Traveler Health Form is MANDATORY for inter-island travel. You may download, print, fill out, and bring the form with you to the airport.

» Download Adobe Acrobat Reader

Instructions for PDF Form

  1. Open Traveler Health Form in Adobe Acrobat Reader.
  2. Type in your information in the fillable form.*
  3. Print out the completed Traveler Health Form PDF, double-sided (front and back) on one sheet.
  4. Note: Please use blue or black ink if you are filling out the form by hand.

*The contact phone number that you provide on your form will be used for contact tracing. Screeners at the airport will verify the contact number in your presence. Have your phone available for verification.

Provide honest and complete answers.

We ask for your help in providing honest and complete answers. It will help ensure timely follow up and contact tracing as well as identify travelers who may benefit from testing and health information. The health information must be filled in ahead of flight time, but no more than 24 hours in advance. The more current the information, the more useful it is. 

It only takes 2–5 minutes to complete the form.

The form should take no more than two to five minutes to complete if you have your travel information readily available. Complete the form, print it and bring it with you to present to the screener prior to boarding. 

Avoid delays at the airport.

To save time and minimize delays, we recommend completing the form before
arriving at the airport. Printed forms are available at the airport if you are not able
to fill out the form prior to arrival at the airport. However, you must arrive earlier to allow time for this procedure.

Mahalo for helping to keep Hawai‘i healthy!