Stay safe this #Ramadan by following COVID-19 guidelines. For more information visit: https://t.co/qAOGzpWMu6 https://t.co/9ffsg2K78q
The Oxford/AstraZeneca COVID-19 vaccine has already saved thousands of lives. The UK's Independent regulator has… https://t.co/6S0dkkMOgK
The NHS is sending texts to some people to invite them to book a COVID-19 vaccine appointment. These may come from… https://t.co/zXnVHHMKfr
The COVID-19 pandemic has had a devastating impact on ethnic minority communities. That’s why it’s so important tha… https://t.co/blXbhPB36G
Join the millions across the UK who have safely received the COVID-19 vaccination. Don't delay in getting your vacc… https://t.co/tVlT1EhDir
RT @NHSuk: If you're pregnant, you should be offered the COVID-19 vaccine when you're eligible. You'll be offered the Pfizer/BioNTech or M…
The second dose of the COVID-19 vaccine helps to provide longer-term protection. Don't delay in getting your secon… https://t.co/VzcrbfYcqW
Remember F.A.S.T for the signs someone might be having a stroke. Face – has their face fallen on one side? Can they… https://t.co/053zI4M3xZ
Two households or a group of up to six people can now meet outdoors. Remember to always keep a safe distance from… https://t.co/kFJ2iPCcE8
RT @NHSEngland: 'The vaccine is permissible.' This #Ramadan, Imam Muhammad shares an important message for the Muslim community. If you're…
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.
Please give details of which countries and areas you are visiting along with the dates of your stay.
Please state whether you have had the following immunisations, along with the date given.
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.
I consent to my information being used for the purposes described above and wish to submit this online form to The Tardis Surgery • Queen Street, Cheadle, Stoke-on-Trent, ST10 1BH.
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.
Loading...