Travel Clinic

Click here to download a holiday vaccination form.
When travelling abroad for business or pleasure, it is important to be adequately protected against illness. The doctor at COPD AWARE is able to offer travel advice, immunisations and appropriate prescriptions for you and your family.
COPD AWARE

12 Small Street

London

EH3 7AU

For more details

Call Us On T. or
London@copdaware.co.uk

 

 

 

HOLIDAY VACCINATION FORM
Please complete this form so that up-to-date travel information, advice and vaccination recommendations can be provided for your destination.

Vaccines require a Prescription which you will need to pay for. Our GP will write a Prescription and we will obtain the relevant vaccinations.

Once the vaccines have arrived we will telephone you to arrange to have the injection. Any queries can be discussed at the time of appointment.

Recommendations for holiday immunisations are constantly being updated and can therefore only be guaranteed as accurate at the time of completion of this form.
NOW PLEASE FILL IN THE FORM:
* Required Field
Name *
Email *
Age *
Address
Telephone
Countries Visiting
Longest Stay
What immunisations have recently had and when.
Depature Date
Are you pregnant? Yes

No
Receiving medication? (Give Details)
Reason for Visit (work, holiday etc)
Type of Accommodation?
Will you be at increased Risk? (eg ‘at risk’ occupation, mixing with locals, backpacking, long visits to rural areas, etc)

When traveling abroad it is important to remember that immunisations do not provide 100% protection against illness and care must be taken to avoid undue risks,

which include:

Be careful what you eat and drink.

Avoid insect and animal bites – Protect yourself against Malaria.

Avoid over-exposure to the sun.

 

USEFUL WEBSITE: www.fitfortravel.nhs.uk