Doctor Registration

We need you to complete the following form accurately so we can book flights and make all the other arrangements for your expedition asap.

Forename(s) as Per Passport*
Surname as Per Passport*
Email*
Phone*
Gender as Per Passport*
Date of Birth*
DD slash MM slash YYYY
Passport Number*
Nationality*
Country of Birth*
Passport place of Issue*
Date of Issue*
DD slash MM slash YYYY
Date of Expiry*
DD slash MM slash YYYY
Passport Photo Page*
Accepted file types: pdf, png, jpg, jpeg, Max. file size: 64 MB.
Your passport photo page in pdf or jpg format. Please ensure all details are clearly visible. The minimum size is 10kb and the maximum is 64mb.
Medical Council/GMC Number*
Preferred Departure/Arrival Airport*
(We may require you to fly to/from Dublin. However, if possible, we will accommodate a flight to/from your nearest international airport).
Next of Kin Name*
Please Select First Last
Next of Kin Phone Number*
Please include country code if outside Ireland
What is their Relationship to You?*
Do you have any medical allergies, illnesses, injuries or are you currently taking any medication?*

We need this information in the case that you fall ill and require first aid treatment from the expedition leader.
Do you have any Dietary Restrictions?*
*
- . I have read the expedition itinerary and to the best of my knowledge I am fit and healthy enough to partake in the entirety of this expedition.
We highly recommend obtaining your travel insurance with TrueTraveller.*
- . I understand I need to obtain travel insurance which covers me for this expedition.
We highly recommend obtaining your travel insurance with TrueTraveller.
Please contact your medical indemnity insurance provider asap to obtain confirmation that they will cover you.*
- . I confirm it is wholly my responsibility to obtain and pay for medical indemnity insurance which covers me for this expedition.
Please contact your medical indemnity insurance provider asap to obtain confirmation that they will cover you.
*
- . I have read the doctor file and I am clear on what the expedition doctor role entails and what is expected of me.
*
- . I confirm I am familiar with altitude medicine and I have read and understood the CDC paper on Altitude Illness.
*
- . I confirm I am familiar with all of the medical equipment and medication supplied by Earth’s Edge including the correct dosages, potential side effects and reactions. I confirm that I will research the destination myself and I will carry any additional medicines I feel are needed over and above what is supplied by Earth’s Edge. I confirm I will check and make sure that the medical equipment and medication supplied by Earth’s Edge is present and in working order prior to departure. It is exclusively my responsibility to decide when and to whom to give medical care to on the expedition.

Earth's Edge

Unit C28, Wicklow Enterprise Centre, Park The Murrough, Corporation Murragh, Wicklow

Tara Tierney ★★★★★ 2 weeks ago

I have now been on two trips with Earth’s Edge, Kilimanjaro and Mt Toubkal, both have been the adventure of a lifetime and I am looking forward to the next! One of the highlights of each trip has been our expedition doctor, Dr. Saira Butt, … More whose expertise and great company made the difference between a good trip and a great trip!

Lisa Hutcheson ★★★★★ 4 months ago

I’ve completed two expeditions with Earth’s Edge Kilimanjaro in 2019, and Everest Base Camp & Island Peak in 2025 and I would highly recommend them.The team were incredibly helpful, friendly, and supportive throughout both trips. Organisation … More was excellent from start to finish, and everything was handled professionally, making the whole experience enjoyable and stress-free.Both expeditions were unforgettable experiences, and I wouldn’t hesitate to travel with them again.

Umberto di Venosa ★★★★★ 6 months ago

I used Earth's Edge for the Aconcagua expedition. The trip ran really smoothly. I had a great time throughout. The weather was great and we had to use the spare days to get a good window for the summit but things were really fine.The … More actual trip is stunning. The might of these mountains is mind blowing. Camp 2 was special for me.Food was excellent.

4.9 189 reviews

Tara Tierney ★★★★★ 2 weeks ago
I have now been on two trips with Earth’s Edge, Kilimanjaro and Mt Toubkal, both have been the adventure of a lifetime and I am looking forward to the next! One of the highlights of each trip has been our expedition doctor, Dr. Saira Butt, … More whose expertise and great company made the difference between a good trip and a great trip!
Lisa Hutcheson ★★★★★ 4 months ago
I’ve completed two expeditions with Earth’s Edge Kilimanjaro in 2019, and Everest Base Camp & Island Peak in 2025 and I would highly recommend them.The team were incredibly helpful, friendly, and supportive throughout both trips. Organisation … More was excellent from start to finish, and everything was handled professionally, making the whole experience enjoyable and stress-free.Both expeditions were unforgettable experiences, and I wouldn’t hesitate to travel with them again.
Umberto di Venosa ★★★★★ 6 months ago
I used Earth's Edge for the Aconcagua expedition. The trip ran really smoothly. I had a great time throughout. The weather was great and we had to use the spare days to get a good window for the summit but things were really fine.The … More actual trip is stunning. The might of these mountains is mind blowing. Camp 2 was special for me.Food was excellent.

Doctor Registration

Doctor Registration

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