East Calder Medical Practice
PATIENT TRAVEL QUESTIONNAIRE
 
 
You may require travel vaccinations depending on the country or countries you intend to visit.  To help us advise you, please click here to download our travel questionnaire. 

Please complete this as accurately and as fully as possible.  Please also note the following important information: -
 
Please return the completed questionnaire to us at least 6 weeks prior to departure.
 
Forms handed in within 3 weeks will be processed if possible but this is not guaranteed.
 
Forms handed in less than 3 weeks prior to travel will not be processed, however a Travel Advice print out will be offered.
 
A member of the practice team will contact you regarding your travel form.
 
If you require a vaccination certificate there will be a charge of £20 per certificate.  If you require a letter confirming your medication there will be a charge of £20. 

 
 
 
 

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