Pre-Appointment Health Forms
Before your appointment, we ask all patients to complete an online health assessment. This allows our clinicians to review your information in advance and ensure your appointment is safe, efficient, and tailored to your needs.
All information is confidential and handled in line with UK data protection regulations.
Travel Risk Assessment
All patients must complete the Travel Risk Assessment form before booking an appointment.
This form helps us understand:
Your travel plans
Medical history
Previous vaccinations
Any potential health risks
Yellow Fever Risk Assessment
This form is required by international health regulations and determines whether the vaccine is suitable for you. Read the Yellow Fever Vaccine Information Leaflet before filling the online form. To learn more, visit the Yellow Fever Zone website
Important Notes
Forms must be completed before your appointment
Incomplete forms may delay or prevent vaccination
Please answer all questions honestly and accurately
If you answer “Yes” to certain questions, further clinical review may be required
Privacy Statement
Your information is reviewed only by qualified healthcare professionals and is used solely for clinical assessment and care. Completed forms are securely transmitted to the clinic and are not publicly accessible.
Once you have completed the required forms, you may proceed to book your appointment online.