Travel Risk Assessment

If you are travelling abroad please make sure you contact us in plenty of time to arrange any vaccinations that may be necessary. Once you have submitted the form you will need to book an appointment to see the Nurse, even if you are not due to travel for several weeks. Please allow 3 working days before booking to allow the nurse to assess your requirements.

Travel Risk Assessment

Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY
Please use this date format: DD/MM/YYYY
Please write your name. For discussion when risk assessment is performed within your appointment. I have no reason to think that I might be pregnant. I have received information on the risks and benefits of the vaccines recommended and have had the opportunity to ask questions. I consent to the vaccines being given.