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Travel risk assessment

Travel Risk Assessment

Travel details

Please use this date format: DD/MM/YYYY
Have you taken out travel insurance for this trip?

Countries and locations to be visited

Type and purpose of travel

Select all options that apply:

Personal medical history

Are you fit and well?
Do you have any allergies (including food, latex, medication)?
Have you had a severe reaction to a vaccine before?
Do you have a tendency to faint with injections?
Have you had recent chemotherapy, radiotherapy, or organ transplant?
Have you had a HIV/AIDS diagnosis?
Do you have an immune system condition?

Women only

Are you pregnant?
Are you breastfeeding?
Are you planning pregnancy while away?
Terms and conditions