Travel Risk Assessment V2

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. Please be aware that we require at least 6 weeks notice before you travel to allow time for your vaccinations.

Last Updated: 10/11/2023

Your Details







Please Supply Information About Your Trip In The Sections Below










Type of travel and purpose of trip - Please tick all that apply


Please supply details of your Personal Medical History


























Please supply information regarding any vaccines or malaria tablets taken in the past





Medication


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