Travel Risk Assessment

If you are travelling abroad please make sure you contact us in plenty of time to arrange any vaccinations that may be necessary. To help the Travel Nurses assess your travel needs it is important that they are in receipt of the assessment form before your appointment. Find out more about our travel vaccination service…

Vaccine Fees

PricesPricesHepititis B Injection I – £40
Hepititis B Injection II  -£40
Hepititis B Injection III – £40
Hepititis B (course of 3) – £120
Hepititis B Booster – £40
Hepititis B Paediatric – £27
Japanese Encephalitis – £90 each
Meningitis ACWY – £60
Rabies Injection I – £60
Rabies Injection II – £60
Rabies Injection III – £60
Rabies (course of 3) – £180
Tick Bourne Encephalitis – £65
Yellow Fever Vaccination – £60
Yellow Fever Certificate – £12
Sterile Medical Pack – £18
Private Prescription (e.g. Malaria) – £15

Please Note – once you have submitted this information, any reply or acknowledgement from us will be sent to the email address you provide at top of the form. This response may include personal and sensitive information about you. We therefore strongly advise that you provide a personal email address that only you have access to. If you do not wish for us to communicate with you via email, please do not use this form and call us instead.

Travel Risk Assessment

Travel Risk Assessment

Gender: *
Please use this date format: DD/MM/YYYY.
This email address will be used for all correspondence relating to this request. Please be aware that if anyone else has access to this email address that they may see responses sent to you.
Please use this date format: DD/MM/YYYY.
Have you taken out travel insurance for this trip?
Do you plan to travel abroad again in the future?
Type of travel and purpose of trip - please tick all that apply

Please supply details of your personal medical history

Are you fit and well today?
Any allergies including food, latex or medication?
Severe reaction to a vaccine before?
Tendency to faint with injections?
Any surgical operations in the past, including e.g. your spleen or thymus gland removed?
Recent chemotherapy / radiotherapy / organ transplant?
Anaemia / bleeding / clotting disorders (including history of DVT)?
Heart disease (e.g. angina, high blood pressure)?
Epilepsy / seizures?
Gastrointestinal (stomach) complaints?
Liver and kidney problems?
Immune system condition?
Mental health issues (including anxiety, depression)?
Neurological (nervous system) illness?
Respiratory (lung) disease?
Rheumatology (joint) conditions?
Any other conditions?

Women only

Are you pregnant?
Are you breast feeding?
Are you planning pregnancy while away?

Please supply information on any vaccines or malaria tablets taken in the past

Please visit the NathNac travel advise website before submitting this form so that you are aware of the travel advice and vaccine requirements for your destination: NaTHNaC - Country List (