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.

It is important to make this initial appointment as early as possible – at least 6 weeks before you travel – as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Some travel vaccines are ordered on a private prescription and these 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.

Please click here for further information on the NHS website

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

Personal Details

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Date of Birth: Required
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Trip Dates

Departure: Required
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Itinerary

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Trip Description - please tick all appropriate boxes

Purpose of Trip:
Type of Trip:
Accommodation:
Traveling:
Location Type:
Activity Type:

Medical Information

Have you recently suffered from any infection (eg. heavy cold, flu or high temperature)?
Does having an injection cause you to feel faint?
Do you or any close family members have epilepsy?
Do you have any history of mental illness including depression or anxiety?
Have you recently undergone radiotherapy, chemotherapy or steroid treatment?
Have you taken out travel insurance?
If you have a medical condition, have you told your insurance company about it?
Are you pregnant, planning pregnancy or breast feeding?

Vaccine History

Have you ever had any of the following vaccinations/tablets and if so, when?

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