Travel Vaccination Form
Once completed this form will automatically be sent to the practice email address.
Please allow 5 working days after sending the form before contacting the Medical Centre for an appointment.
Please note that not all vaccines are free some may incur charges.
Free Travel Vaccinations
The following travel vaccinations are usually available free on the NHS:
These vaccines are usually free because they protect against diseases thought to represent the greatest risk to public health if they were brought into the country.
Private Travel Vaccinations
You will have to pay for travel vaccinations against:
Unfortunately we are unable to do yellow fever vaccines at Parkside Medical Centre.
Yellow fever vaccines are only available from designated Centre’s. The NaTHNaC website can help you find where to get a yellow fever vaccination.
Parkside Medical Centre will charge you £25 for the private prescription, which will include the administration of the vaccine.
The private prescription will need to be taken to the Pharmacy who will charge you for the cost of the vaccine.
For further information please go to NHS Choices and search for Travel Vaccinations.
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key known only to the GP practice and is
accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.