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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.

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

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! Lee Fletcher Funeral Services Ltd Alverstoke Garden Services Aqua Cars Ltd A P M Motors
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