Travel Risk Assessment

If you are travelling abroad please make sure you contact us at least eight weeks before you’re due to travel, as some jabs need to be given well in advance. 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 note we are only able to offer a very limited Travel Clinic service (mainly from our Lane End branch). For more information click here. Thank you for your co-operation.

Further information can be found on the NHS Choices website here:


Please supply details of your personal medical history

Women only

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