Travel health questionnaire
This form must be completed and submitted at least one week before your travel health appointment.
If you prefer, you can download an editable word document version of the questionnaire and email it back to us, or even a printable version to post/fax to us at the relevant address shown on the contact page. Fax numbers are as follows:
- Acomb: 01904 342990
- Monkgate: 01904 342980
- Woodthorpe: 01904 345797
- York St John University: 01904 716411
Travel Health
The following travel vaccinations are free to patients:
- Diphtheria/Tetanus
- Hepatitis A
- Polio
- Tetanus
- Typhoid
- Cholera (full course) On Prescription
Like any other professional, your Doctor is entitled to charge a fee for work that does not fall under the umbrella of the NHS. This includes provision of the following travel health vaccines and paperwork:
| Vaccines, price per dose | Number of doses required | Cost per dose (£) | Total cost (£) | Minimum time before travel for completed course |
|---|---|---|---|---|
| Hepatitis B | Three | 42.00 | 126.00 | 4 weeks |
| Hepatitis B, junior | Three | 26.00 | 78.00 | 4 weeks |
| Seasonal Influenza (for travel) | One | 25.00 | 25.00 | Nil |
| Meningitis ACWY | One | 54.00 | 54.00 | 2 weeks |
| Rabies, pre-exposure only | Three | 46.00 | 138.00 | 4 weeks |
| Yellow Fever | One | 54.00 | 54.00 | 10 Days |
| Administration | ||||
| Fitness to travel certificate | 28.00 | |||
| Private prescription | 15.00 | |||
Please note:
- Payment is due prior to vaccinations being given: cash or cheque only
- It is your responsibility to ensure that you have the recommended vaccines
- Please take into account that only two vaccinations are recommended at any one time
