Request for details of immunisation history

Please use the form below to submit a request to the occupational health team for details of your immunisation history.

A charge of £10.00 will be made if a duplicate copy is required.

Details of immunisation history can only be requested if you are current staff or have left the Trust within the last six months.

Address
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Please bear in mind that you may be called in for an occupational health appointment subject to your current proof that is held on file.

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