Use this service to opt out if you do not want your child immunised against diseases.
You should read the Department of Health (DoH) reference guide to consent for examination or treatment before making a decision.
Your child can be restored to the vaccination schedule at any time by contacting the surgery.
You can use this service if you:
- are registered at the surgery
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
You can also phone us on Cuffley Village Surgery 01707 875201 or Valley View Health Centre 01707 875223.