Travel Vaccinations and Questionnaire

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.

The NHS website has information on travel vaccinations with links to which vaccinations are needed for the country/ countries you are travelling to – NHS Travel Vaccinations

Before Travelling

  • Travel assessment forms must be received at the surgery 3 months prior to trave
Travel health questionnaire

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

Travel Questionnaire

Please complete the form below to get more information about what travel immunisations you require. Most vaccines are given at least 2 weeks before travel, and some more complicated regimes take longer. Please try to give us prior notice (preferably 6 weeks).
Title
Date of Birth
Address
Email
Women Only: Is there any possibility you may be pregnant?
Destination(s)
UK Departure Date
Please enter a number from 0 to 99999.
Further Information
Purpose of your trip
Holiday type
Accommodation
Setting
Planned Activities
Are you fit for travel?
Do you have any allergies?