Travel Vaccination Request

Travel Vaccination Request

Please submit this form 8 weeks before travel for a nurse to review your immunisation history.  We can only provide the vaccines that are available on the NHS (Hepatitis A, Typhoid, Tetanus and Polio).

We do not offer travel consultations or any other vaccinations that you might need.  These will need to be sought through a private travel clinic.

Please look at your travel destination on the travel health website: http://travelhealthpro.org.uk/countries and this will advise what, if any, other vaccines you may need.

Local private travel clinics for advice and private vaccinations include:

https://www.ashworthsclinic.com/travel-vaccinations and https://delmergate.com/travel-clinic

  • Your Details

    Date of Birth
    For example, 15 3 1984
    Gender
  • Trip Details

    Departure Date
    For example, 15 3 1984
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Page last reviewed: 11 August 2026
Page created: 19 January 2026