Travel questionnaire

Please complete the form below if you are travelling abroad. If you would prefer you can print out a form here and post it to us or drop it in at the surgery.

Please complete this form at least 4–6 weeks before travel.

It is your responsibility to phone the surgery approximately 1 week after completing the questionaire to confirm vaccines required and make appointment.

NB – There will be a charge for anti-malarials as they are not available on the NHS and there is a fee payable for some vaccines e.g. yellow fever.