Travel Risk Assessment Form 0151 705 3223 or complete an Appointment Request Form online. Well Travelled Clinic, Liverpool School Of Tropical Medicine, Pembroke Place, Liverpool. L3 5QA
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I have consulted the Travel Health Pro website to obtain information on what vaccinations I need -

Travel Details

Destination description

Purpose of Trip

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Medical History

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Babies and children only

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Vaccine History

Have you had any vaccines administered outside of the surgery? Tick all applicable
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