Pre-Travel Health Questionnaire

Please complete the Pre-Travel Health Questionnaire as fully as possible prior to your appointment to help us provide the most accurate and appropriate advice for you.

Once the form is complete, please submit to Sharon Morrison, Travel Health Nurse, BN, PG Cert Travel Medicine at sharon.morrison@nbph.org.nz.

Sharon will contact you with vaccine recommendations and general travel health advice.  Please note that a travel consultation fee ($60) will be added to your account at this time.  Any vaccine costs will be added only after discussion and administration.

Your request may be prioritised depending on the departure date given and recommendations advised for your individual trip. If your request is urgent, please call 03 525 0060 to advise our staff of this.