Travel Risk Assessment

Wokingham Medical Centre only accept requests from our own registered patients.

Our nursing team is able to provide patients with a comprehensive travel advice and vaccination service. If you are travelling abroad please complete and submit the travel form in plenty of time (we recommend 6-8 weeks) before your journey.

One form is required for each patient travelling.

Once completed a nurse will then assess your needs and record recommendations on the computer. While it is hoped this assessment will be made within 2 weeks this cannot be guaranteed. After this time please contact reception and you will be informed of the result and any appropriate appointments can be made.

Alternatively, you can download the form.

ALL Vaccinations must be paid for before the appointment.

Please use this date format: DD/MM/YYYY.
Please include postcode.

Please supply information about your trip below

Please use this date format: DD/MM/YYYY

Type of travel and purpose of trip

Please supply details of your personal medical history

 
 
 

Women Only

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

Please state which year you had the vaccination(s):

For Office Use Only