Travel Risk Assessment

If you are travelling abroad please make sure you complete this form at least 8 weeks before your trip 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.

You will then be contacted by our reception team to book you an appointment for your travel immunisations.

If you are travelling in less than eight weeks we are NOT obliged to provide you with travel vaccinations. This is because there is not enough time to give you the correct vaccination course(s) before you travel. Please complete form as soon as you know you are travelling to avoid delay.

If you are travelling in less than 8 weeks, please visit the Travel Room to find other sources to obtain relevant vaccinations.

Please complete a separate travel risk assessment for each person travelling who is registered at the practice. We cannot respond to multiple travellers on one form.

Thank you for your co-operation.

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):