Please complete the following form to request immunisation appropriate to your travel plans. Alternatively please click here to download the form and return the completed form to the surgery.
We can only accept 1 form per person – please complete separate forms for each family member
PLEASE MAKE a 20 MINUTE TRAVEL APPOINTMENT to see the Practice Nurse.
It is YOUR RESPONSIBILITY to make this appointment in time for your foreign travel. If you do not contact us with sufficient notice we may not be able to fit you in before you travel. In this situation you are advised to visit a specialist travel clinic. Bear in mind that some vaccines take 2-4 weeks to build protection; and some vaccines require several doses over a period of weeks or months. If you are pregnant, or likely to be pregnant when you travel, your needs will be more complex so please book your appointment even earlier.
- If Hepatitis A, Typhoid and Diphtheria/Tetanus/Polio vaccines are required these are free of charge.
- If you would like Hepatitis B vaccines (and we have sufficient stock) these cost £37.50 per dose (payable at your appointment) and a course may take several weeks/months
- We do not offer Yellow Fever, Japanese Encephalitis, Rabies or Meningitis ACWY vaccines. If these are required you will need to contact a specialist travel clinic.
- Please bring any travel and childhood vaccination records to your appointment.
Please bring your travel itinerary to your appointment to establish whether you will be in a malarious area, and if so which medication is recommended. If anti-malarial medication is advised you may be able to source this from certain pharmacies. Alternatively we can supply a private prescription at a cost of £18 per traveller and you can then purchase the medication at a pharmacy of your choice.
The NHS website www.travelhealthpro.org.uk is an excellent source of information on how to reduce your risk of travel related illness. The Nurse can answer any questions you may have at your appointment.
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key known only to the GP practice and is
accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.