Have you had any recent treatment for cancer: Yes/ No Have you reacted badly to any previous vaccines: Yes/ No SIGNATURE…………………………………………….DATE……………………………………. For office use only NHS Vaccine Recommended for Date Given Travel Tetanus Polio Diphtheria Typhoid Hepatitis A
Have you had any recent treatment for cancer: Yes/ No Have you reacted badly to any previous vaccines: Yes/ No SIGNATURE…………………………………………….DATE……………………………………. NHS Vaccine Recommended for Travel Date Given Tetanus Polio Diphtheria Typhoid Hepatitis A For office use only
Travel%20Health%20Information2018.docx