You don't need to be registered with St Wulfstan as an NHS patient to benefit from this service.
People Not Registered with St Wulfstan Surgery - please click Travel Clinic.
People Registered with St Wulfstan Surgery: Please complete and submit the form at least 3 months before your intended dates of travel. If you prefer to download a hard copy to complete and hand in to reception, you can print it off here.
In a few days, please make an appointment to see the nurse to go through the details.
Childhood Imms Checked
Which National Database was consulted? NathNac / TRAVAX / Other
Is disease protection required for any of the following?
Vaccine and general advice required/provided
Potential side effects of vaccines discussed
Date Received ....../......./.......
Received by ..........................
Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed,
our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to
encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified -
the highest standard of security associated with e-commerce and online finance solutions.
Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.