Travel/Non-Travel Vaccination
Where are you traveling to?
You can enter more than one destination. if not traveling, just indicate N/A.
When are you leaving?
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Day
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Month
Year
Date
When are you returning?
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Day
-
Month
Year
Date
I am not travelling
Please verify that you are human
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Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
If appointment is for someone else, please complete full name of patient
First Name
Last Name
Enter number of adults
Enter number of children
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Select vaccines you are interested in
*
Altitude Sickness
Chicken Pox
Cholera - £79 per dose
Hepatitis A - £60 per dose
Hepatitis B - £45 per dose
Human papillomavirus
Jet Lag
Japanese Encephalitis - £115 per dose
Meningitis - £60 per dose
MMR
Rabies - £115 per dose
Respiratory syncytial virus (RSV)
Shingles - £235 per dose
Yellow Fever - £80
Typhoid - £45 per dose
Tetanus/Diptheria/Poliomyelitis - £45 per dose
Anti-malarials
Whooping cough
Other
Book appointment
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GDPR policy
*
By booking, you agree that we may process your details under GDPR to send booking confirmations and essential updates, and that our cancellation policy applies.
Consulation Fee
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Travel consultation
£5 per additional persons (paid in clinic)
£
30.00
Quantity
1
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10
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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