Travel Risk Assessment Form

Please note we need at least 4 weeks notice before your departure to organise and administer your vaccinations. If you are due to travel sooner than this you will have to contact a travel clinic. Details of local travel clinics are listed at the foot of this page.

Travel Risk Assessment
Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979
Please use format day/month/year e.g. 12/05/2019
Please use format day/month/year e.g. 12/05/2019

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.