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Travel Questionnaire

It is recommended that you give us sufficient notice of your holiday, so that you have time to complete any necessary immunisation courses.

Click here to download a printable version of our Travel Questionnaire.

Alternatively you can fill it in online by completing the form below. The Nurse will check your immunisation requirements and a receptionist will contact you to inform you either that you require an appointment or that you are in date and no appointment is necessary.

1Travel Questionnaire

Although some vaccines are available on the NHS (Tetanus, Diphtheria, Polio, Hepatitis A and Typhoid) there will be a charge for any others required.

If you require Malaria protection, anti malarial tablets are not available on the NHS and are either provided on a private prescription or have to be purchased from a chemist. Prices vary.


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Your Neighbourhood Professionals. Just a Click Away! Sapphire Eye Care Aqua Cars Ltd Alverstoke Garden Services Lee Fletcher Funeral Services Ltd A P M Motors
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