Travel Risk Assessment

The Travel Nurse is on annual leave from 7 March until 19 March 2018. If urgent, patients may wish to contact DOCTORnow private travel clinic in Beaconsfield.

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.

Travel Risk Assessment

DD/MM/YYYY

Please supply details of your personal medical history

Women only

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