The Cranborne Practice Travel Risk Assessment v3

The Cranborne Practice Travel Risk Assessment v3

If you are travelling abroad, please make sure you contact us in plenty of time to arrange any vaccinations that may be necessary. To help the Travel Nurses assess your travel needs it is important that they are in receipt of the assessment form before your appointment.

Please be aware that we require at least 8 weeks notice before you travel to allow time for your vaccinations.

 

This form was updated in January 2026.

Your Details







Trip details

Please supply information about your trip in the section below.









Trip Description



Please supply details of your personal medical history

If you answer "Yes" to any of the questions below, please provide further details in the box provided. 



























Vaccine and Malaria treatment history





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Page last reviewed: 08 January 2026
Page created: 13 April 2023