Travel risk assessment

Use this service to arrange travel vaccinations and get advice for your upcoming trip abroad.

To help the travel nurses to assess your needs, it is important that you fill out this form before your appointment.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of
• details of your trip
• health and medical information, including vaccinations

Start now

You can also phone us on Branch 1 01234 567 890 or Branch 2 01234 567 891.