Hawkesley Medical Practice

0121 486 4200

Travel health assessment form

This form must be completed and returned to us 6 weeks before your departure date.  You will be contacted if an appointment is necessary.

Travel Health Assessment Form 2018 (Word document)

Travel Health Assessment Form 2018 (PDF document)

If you’re planning to travel outside the UK, you may need to be vaccinated against some of the serious diseases found in other parts of the world. Please see the link below for full details.

https://www.nhs.uk/conditions/travel-vaccinations/

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