Online Travel Form

Westongrove Partnership is pleased to offer a private travel service for our patients.

We offer a limited amount of travel appointments with our specially trained nurses, so please book early so that we can accommodate your needs.

Whilst we recognise that you may have to make last minute travel plans, we cannot guarantee last minute appointment availability. In many cases this is because vaccinations should be administered a certain number of weeks prior to travel.

Please complete the attached form prior to your travel appointment and return to reception. Please complete a separate form for each person travelling.

If you are not registered as a patient at Westongrove Partnership, we will require your home address.

We will need a mobile number so that we can text you when your form has been completed.

You may require a course of vaccinations, so it is essential that you hand in your forms as soon as possible, ideally 10 weeks prior to your travel date. Please include as much information regarding your planned travel itinerary as possible. This enables the Travel Team to provide accurate and up to date information.

The forms will be reviewed by a specialist travel nurse, who will send you a text message once the form has been completed, asking you to contact the surgery to make your travel vaccination appointment.

You will be advised at this time whether we are able to offer you a full travel service and an initial appointment will be made with the Travel Nurse to discuss your requirements.

Should we be unable to provide you with this service we will advise you of other travel service providers.

Please note that although some vaccinations are free of charge, most incur a charge and will need to be paid for before administration. These vaccinations are marked with an asterix (*) on the travel form and priced accordingly. If malaria tablets are required there is normally a separate prescription charge.

Patients not registered at Westongrove Partnership will be charged for all vaccinations.

Following NHS guidance, requests for medication for the anticipated onset of an ailment whilst outside the UK, for medication to delay/prevent menstruation and medication to prevent ‘fear of flying’ will incur a private charge.

If you require regular medication for a stable long term health condition, your GP can prescribe a maximum supply of three months.

Further patient advice can be found at https://www.nhs.uk/vaccinations/