Travel Risk Assessment

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 only offer NHS vaccines for travel. If you require vaccines over and above that offered by the NHS you will need to arrange these yourself at a private travel clinic.

Please visit the NHS website to see which vaccines are available at Windrush Surgery

Travel Questionnaire form

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).
Date of Birth
Address
Email
Women Only: Is there any possibility you may be pregnant?
Destination(s)
UK Departure Date
Please enter a number from 0 to 99999.
Further Information
Purpose of your trip
Holiday type
Accommodation
Setting
Planned Activities
Are you fit for travel?
Do you have any allergies?