Stickney Surgery

01205 480237

Travel Health Questionnaire

Online questionnaire

Please complete and return the information requested below in advance of booking an appointment with the Practice Nurse.

It is important to make this initial appointment as early as possible but we require a minimum of 6 weeks’ notice to provide vaccination. If you are due to travel within the next 6 weeks, we would recommend you contact a travel clinic.


The following travel vaccinations are free to patients and are provided by the surgery:

  • Diphtheria/Tetanus
  • Hepatitis A
  • Polio
  • Tetanus
  • Typhoid

The following travel vaccinations are not provided free of charge and therefore require payment before treatment begins.

  • Yellow Fever
  • Japanese B encephalitis
  • Tick borne encephalitis
  • Rabies
  • Hepatitis B
  • Meningitis ACWY
  • Malaria tablets


Allow plenty of time for a travel consultation, book an appointment with the Practice Nurse at least 6 weeks before you travel.

Take out adequate insurance for your destination and activities.

A European Health Insurance Card (EHIC) entitles you to free or reduced rate medical care in most EU countries. You can apply for one free of charge online, by phone 0845 606 2030 or by post using a form from the Post office.

Find out about the place you are travelling, the Foreign and Commonwealth Office website contains information and up to date advice on travelling abroad, including information about risks in specific countries.

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