Travel Questionnaire

Please return the completed questionnaire at least 6 weeks before your departure date. Please complete a form for each member of your party or family.

By completing this form you confirm that the information given is correct to the best of your knowledge, and request advice about appropriate vaccinations and anti-malaria tablets for your trip.

You understand that you may be advised to phone/ attend a dedicated travel clinic for specialist advice or vaccines. You also understand that most travel services are not covered by the NHS and fees will be charged.

To help us avoid spam, please add 7 and 4 and enter the answer in the box