Travel risk assessment

To help the travel nurses to assess your needs, it is important that you fill out this form before your appointment and contact us in plenty of time to arrange any vaccinations that may be necessary.

4-6 weeks notice should be given otherwise we can’t guarantee you’ll get an appointment.

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
Start now

You can also phone us on Cuffley Village Surgery 01707 875201 or Valley View Health Centre 01707 875223.