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.
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.
I have read and accept the terms & conditions.
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