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Leander Family Practice Providing NHS services
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Home > Patient Travel Health Questionnaire

Patient Travel Health Questionnaire

Information on travel services provided.

Please complete the travel questionnaire below. The nurse will then advise if you need an appointment.

We politely request that you try to book your travel appointment at least 6 weeks before departure. The earlier the better! This is because most vaccines require at least two weeks to become effective and some vaccines require more than one dose.

Due to demand appointments get booked quickly so the earlier you try to book before travel the more likely you will get a suitable appointment. It is difficult to offer appointments at short notice (eg if travelling in less than 3 weeks) and we may ask you to attend a private clinic if we are unable to offer a suitable appointment.

Most private travel clinics can provide appointments at short notice however be aware that their services will incur a fee.**

We only provide free NHS travel vaccines. These include hepatitis A ,typhoid and diptheria/tetanus/polio vaccines.

Non NHS travel vaccines eg yellow fever, meningitis ACWY, rabies, Japanese Encephalitis, hepatitis B are only available at private travel clinics

Where vaccines occur a fee, this is applicable to all travellers irrespective of age or NHS entitlement. 

Malaria medication is not provided free by the NHS.

If malaria medication is issued on prescription a private prescription charge will apply.* Further charges will also be applied when the prescription is dispensed by the pharmacy.

Malaria medication can also be purchased at the pharmacy  or through private travel clinic or from the internet.

 

It is recommended that you obtain advice either from a reputable travel site, travel clinic or the practice nurse as to the most suitable medication you require before you purchase your malaria tablets.

Further advice on travel health can be obtained from:

  • www.fitfortravel.nhs.uk
  • www.nathnac.org

** Our receptionist can provide you with the phone number of local travel clinics if required.

* Please ask at reception for an up to date list of our fees.

 

PLEASE COMPLETE

Patient Travel Health Questionnaire
Is this area
Type of accommodation (please tick all that apply)
Type of holiday or planned activities (please tick all that apply)

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 and is accessed over a secure connection by nominated staff. We have 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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Leander Family Practice

949 London Road, Thornton Heath, Surrey, CR7 6JE

  • 020 3457 8727
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Local Services
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Dentist