Foreign Travel/Holiday Vaccinations

If possible when going abroad fill in a travel questionnaire and book an appointment with the Practice Nurse about 6 weeks before your date of departure. This allows time for a complete course of injections. If time is short an amended schedule may be organised. She will also be able to give you general medical advice when travelling abroad.

Please note Yellow Fever Vaccination is not carried out at this Surgery and the nearest centre is at the Rainham Health Living Centre Tel No. 01634 336700.

Travel Vaccination Form

Travel Questionaire
Please complete the form below to get more information about what travel immunisations you require.

Most vaccines are given at least 2 weeks before travel, and some more complicated regimes take longer. Please try to give us prior notice (preferably 6 weeks).

Tittle *
Address *
Address
Zip/Postal
City
Country
Is there any possibility you may be pregnant? *
Destination(s)
Further Information
Purpose of your trip *
Holiday Type *
Accommodation *
Setting
Planned Activities
Are you fit for travel? *
Do you have any allergies? *