Please allow 6 to 8 weeks before you travel to receive advice and vaccinations, if you are travelling within 2 weeks, it may not be possible for you to be seen here at the practice and you may need to visit a private travel clinic’

If you are enquiring about the yellow fever vaccination, please visit the surgery, DO NOT use this online form

Please complete the following form to request immunisation appropriate to your travel plans together with advice on anti-malarial drugs.

Failure to complete the form correctly and in full may delay your vaccination programme.

This online form is for patients registered with The Albion Surgery only.

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Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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