Vaccinations

If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements.  This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.

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Travel vaccinations

There is further information about countries and vaccinations required on the links below:

 

 

It is important to make this initial appointment as early as possible  – at least 6 weeks before you travel – as a second appointment will be required with the practice nurse to actually receive the vaccinations.  These vaccines have to be ordered as they are not a stock vaccine.  Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge.  This is because not all travel vaccinations are included in the services provided by the NHS.

 

Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

Travelling in Europe

If you are travelling to Europe you can find some very useful information and advice on the following website http://europa.eu/youreurope/citizens/travel/index_en.htm

 

About this form

Fields marked with a red asterisk are compulsory.

Please fill out this form. We will confirm the accuracy of the details when you attend your appointment.

By using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your information.

 

Personal Information

Personal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.

 


How long will you be staying in that country?

TRIP DESCRIPTION
PLEASE TICK ALL APPROPRIATE BOXES:

Please click all appropriate boxes.

PERSONAL MEDICAL HISTORY

eg. diabetes, heart or lung conditions

eg. eggs, nuts, antibiotics

Including oral contraception

eg. heavy cold, flu or high temperature

VACCINATION HISTORY
HAVE YOU EVER HAD ANY OF THE FOLLOWING VACCINATIONS / TABLETS AND IF SO, WHEN?

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