Travel Risk Assessment Form

After completing the Travel Risk Assessment Form please contact the practice to make a telephone appointment with the practice nurse, specifying that you need to speak about travel.

Please see our travel vaccination charges here.

Please write your name. For discussion when risk assessment is performed within your appointment. I have no reason to think that I might be pregnant. I have received information on the risks and benefits of the vaccines recommended and have had the opportunity to ask questions. I consent to the vaccines being given.