Travel Information

If you require any vaccinations relating to foreign travel, as soon as your travel plans are confirmed you should contact the surgery to make an appointment with a practice nurse to discuss your travel arrangements. The nurse will need to know the countries and the areas within the countries that you will be visiting so that they can determine which vaccinations are required.

There May Be A Cost Involved

Some vaccinations are not kept in stock as they are not often requested. When required, these will be ordered for you on a private prescription and may incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.

Vaccination Price List (coming soon)

Allow Enough Time

Please ensure that you make an appointment at least 8 weeks prior to your departure.

You should give us as much notice as possible as certain travel vaccinations have to be given over an extended period. Others need to be given well in advance to allow your body to develop immunity.

Further information about countries and required vaccinations can be found on the following website:

Fit For Travel

The National Travel Health Network & Centre

Travel Health Pro

Government - Travel Information

NHS - Malaria

Malaria Hot Spots

It may be useful for you to print out or note down any information and questions you have from the websites above ready for when you attend your appointment.

Travel Questionnaire

To help our nurses offer the appropriate advice, please complete the following questionnaire before attending your appointment:

Note: Please ensure that you have submitted the Travel Questionnaire before arranging your appointment.

Travel Questionnaire (Click to view)

    * Denotes required fields

    Personal Details

    Name*

    Email*

    Sex
    MaleFemale

    Date of Birth* - some browsers require the date in the following format: YYYY-MM-DD format (e.g. 2013-04-08)

    Postcode*

    Daytime Telephone*

    Trip Dates

    Date of Departure - some browsers require the date in the following format: YYYY-MM-DD format (e.g. 2013-04-08)

    Trip Duration

    Itinerary

    Countries* (one per line)

    Duration* (one per line)

    Trip Description (please tick all that apply)

    Purpose of Trip: BusinessPleasureVisiting Family/FriendsOther
    Type of Trip: PackageSelf-OrganisedBackpackingCampingCruise ShipTrekking
    Accommodation: HotelFriends/FamilyOther
    Travelling: AloneWith Friends/FamilyIn a Group
    Location Type: UrbanRuralAltitude (over 3,000m or 10,000ft)
    Activity Type: SafariAdventureOther

    Personal Medical History

    List all chronic medical conditions that you have (e.g. diabetes, heart or lung conditions)

    List all allergies that you have (e.g. eggs, nuts, antibiotics etc.)

    If you have had a serious reaction to a vaccine in the past, which vaccine was it?

    List all of your current medications (including oral contraception)

    Have you recently suffered from any infection (e.g. heavy cold, flu or high temperature)?
    YesNo

    Does having an injection cause you to feel faint?
    YesNoDon't Know

    Do you or any close family members have epilepsy?
    YesNoDon't Know

    Do you have any history of mental illness including depression or anxiety?
    YesNo

    Have you recently undergone radiotherapy, chemotherapy or steroid treatment?
    YesNo

    Are you pregnant, planning pregnancy or breast feeding?
    YesNo

    Have you taken out travel insurance?
    YesNo

    If you have a medical condition, have you told your insurance company about it?
    YesNo

    Any further information that might be relevant:

    Vaccine History

    Have you ever had any of the following vaccinations / tablets and if so, when?
    (please tick all that apply)

    Tetanus Yes
    Polio Yes
    Diphtheria Yes
    Typhoid Yes
    Hepatitis A Yes
    Hepatitis B Yes
    Meningitis Yes
    BCG Yes
    MMR Yes
    Yellow Fever Yes
    Influenza Yes
    Rabies Yes
    Jap B Enceph Yes
    Tick Bome Yes
    Malaria Tablets Yes
    Other

    By using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your information.

    Travel Vaccination Risk Assessment

    Due to certain circumstances, it may not be appropriate to give your certain vaccinations. Please read the following checklist for more information:

    Travel Vaccination Checklist