Travel Risk Assessment

This form should be completed at least 8 weeks before your journey to allow any immunisations you may need to be given and become effective prior to travel.

If you are travelling abroad please make sure you contact us in plenty of time to arrange any vaccinations that may be necessary. To help the Travel Nurses assess your travel needs it is important that they are in receipt of the assessment form before your appointment.

If your trip is less than 8 weeks away, we strongly advise you to attend a private travel clinic for your vaccinations.

Travel Risk Assessment

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
Please use this date format: DD/MM/YYYY
Please use this date format: DD/MM/YYYY
Including diabetes, heart or lung conditions

Please state which year you had the vaccination(s):

This form should be completed at least 8 weeks before your journey to allow any immunisations you may need to be given and become effective prior to travel.

We strongly advise you to attend a private travel clinic for your vaccinations.

Please return to the travel room.