Peverell Park Surgery & University Medical Centre

Peverell Park Surgery | 01752 766644

University Medical Centre | 01752 222341

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Travel Vaccinations & Advice


Travel Advice
We do not offer travel consultations but can provide NHS funded travel vaccines. Please review the following information and resources.

NaTHNaC
Please visit the NATHNAC Travel Health Pro website for general travel health advice and vaccination guides. This website will provide you with information tailored to the country to which you are travelling. Find out more NaTHNaC – Home

Travel Risk Assessment Form
Once you have reviewed the information online, please complete the risk assessment form (at the bottom of this page) at least 8 weeks prior to travel if you require NHS-funded vaccines. Your form will then be reviewed by one of our practice nurses, who will contact you if you need to be booked in for vaccines. Please be aware that you may require vaccines that will need to be obtained and paid for privately.

If you prefer you can print and complete this PDF form – Travel Risk Assessment Form

Vaccinations
You can do this through some pharmacies or the Plymouth Travel Health Clinic.

Boots the Chemists
Boots (Drake Circus) can provide advice on vaccinations and malaria prevention tailored to your travel plans. Book an appointment here https://www.boots.com/health-pharmacy-advice/vaccinations/travel-vaccination-health-advice-service 

Find out more Plymouth Travel Health Clinic Aquamarine
     

Travel Risk assessment Form

Once you have reviewed the information online, please complete the risk assessment form at least 8 weeks prior to travel if you require NHS-funded vaccines. Your form will then be reviewed by one of our practice nurses, who will contact you if you need to be booked in for vaccines. Please be aware that you may require vaccines that will need to be obtained and paid for privately.

Name(Required)
Email(Required)
DD slash MM slash YYYY
Gender(Required)

PLEASE SUPPLY INFORMATION ABOUT YOUR TRIP IN THE SECTIONS BELOW

DD slash MM slash YYYY
Type(Required)
Type
Type

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?(Required)
Any allergies including food, latex, medication?(Required)
Have you, or anyone in your family, had a severe reaction to a vaccine or malaria medication before?(Required)
Tendency to faint with injections?(Required)
Any surgical operations in the past, including e.g. open-heart surgery, spleen or thymus gland removal?(Required)
Recent chemotherapy/radiotherapy/organ transplant?(Required)
Anaemia?(Required)
Bleeding /clotting disorders (including history of DVT)?(Required)
Heart disease (e.g. angina, high blood pressure)?(Required)
Diabetes?(Required)
Additional needs and/or disability?(Required)
Epilepsy/seizures (or in a first degree relative?)(Required)
Gastrointestinal (stomach) complaints?(Required)
Liver and or kidney problems?(Required)
HIV/AIDS?(Required)
Immune system condition e.g. blood cancer?(Required)
Mental health issues (including anxiety, depression)?(Required)
Neurological (nervous system) illness?(Required)
Respiratory (lung) disease?(Required)
Rheumatology (joint) conditions?(Required)
Spleen problems?(Required)
Any other conditions?(Required)
Are you or your partner pregnant or planning a pregnancy??(Required)
Are you breast feeding (if applicable)?(Required)
Have you or anyone in your family undergone FGM / been cut / circumcised?(Required)

PLEASE SUPPLY INFORMATION ON ANY VACCINES OR MALARIA TABLETS TAKEN IN THE PAST

Personal and medical information about patients registered at Peverell Park Surgery is primarily kept electronically, although some is kept in paper form. Some information will be sent to hospital consultants and other health professionals to whom you are referred by your GP in order to provide continued healthcare and obtain treatment for you. We sometimes use accredited suppliers for our communication with you (please refer to our Privacy Policy), for example when we send recall letters for review clinics or medication reviews. All suppliers we use are checked carefully to ensure they comply with strict confidentiality protocols. To ensure the security of all patient information, all staff that has access to your records is covered by confidentiality clauses in their contracts and the Data Protection Act and the Freedom of Information Act. Our guiding principle is that we hold your records in strict confidence.
(Required)
  

 

 

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