No visas are required for US or Canadian citizens. Guests will obtain a tourist card upon arrival free of charge. A passport, valid for six months beyond projected stay with at least two blank pages for stamps, is required.
Proof of yellow fever vaccination is required if arriving Ecuador from a yellow fever affected area, including Peru. Yellow fever is present in Ecuador so this vaccination is highly recommended. No other vaccinations are required to enter Ecuador. Routine vaccines, such as for influenza, chickenpox (or varicella), polio, measles/mumps/rubella (MMR), and diphtheria/pertussis/tetanus (DPT) are recommended. In addition, the CDC recommends travelers to Peru be vaccinated for hepatitis A, typhoid and yellow fever.
NOTE: Consult your physician or health care provider for recommendations about health abroad and to ensure your routine vaccinations are up-to-date. Also, consult the CDC at www.cdc.gov/travel/ .
You need to be reasonably fit to enjoy this trip, but there are a lot of water activities to temper with the walking. Guests must be able to walk up to four hours unassisted and sit in boats/canoes for up to two hours at a time. Walks in forests are on good paths but can be a bit challenging in bad weather.