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. To help the Travel Nurses assess your travel needs it is important that they are in receipt of the assessment form before your appointment.

Please note: this is not an assessment to see if you are fit to travel, the practice nurse is not qualified to make this assessment. If you have other medical concerns of this nature please book an appointment to discuss with the GP in further detail.

Travel Risk Assessment (Advice and Immunisation)

Please leave at least 4 weeks prior to completing forms to leave sufficient time for vaccines to work and have an appointment at the surgery.
Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
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.