Travel Vaccinations Consultation Form Please contact the practice to book your Travel ConsultationPlease submit the following form at the time of booking. This allows us to plan for your consultation in advance. Examples of items discussed during Travel Consultations includeMalaria preventionTravel VaccinationsWhether Yellow Fever Vaccination is recommended (Mizen Medical is an approved Yellow Fever Vaccination centre)Medical health while travelling My Travel Details Name Date of Birth Gender Email Phone Number Planned Departure Date Planned Return Date Please list destinations Type of Accomodation (Tick all that apply) Camping Back packing Hostel Hotel Resort Travel Type (Tick all that apply) Urban Altitude Rural Work Volunteering Send