Oaks Medical Centre
BBC | Health News
2.0RSSBBC News | Health | UK EditionUpdated every minute of every day.'Debt deterring would-be doctors'The prospect of high student debt and increased pension contributions could discourage young people from entering medicine, a senior doctor warns.Sat, 19 May 2012 12:12:52 GMThttp://www.bbc.co.uk/news/health-18128637#sa-ns_mchannel=rss&ns_source=PublicRSS20-saDieting 'safe for pregnant women'Dieting in pregnancy is safe and does not carry risks for the baby, a review of research has suggested.Fri, 18 May 2012 01:36:38 GMThttp://www.bbc.co.uk/news/health-18101423#sa-ns_mchannel=rss&ns_source=PublicRSS20-saNHS hospital food 'will improve'Health Secretary Andrew Lansley insists the quality of hospital food in England will improve, after criticism of the nutritional value of meals currently offered.Sun, 20 May 2012 10:51:28 GMThttp://www.bbc.co.uk/news/uk-politics-18137234#sa-ns_mchannel=rss&ns_source=PublicRSS20-sa
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Travel Questionnaire

Please complete this form a minimum of 8 weeks prior to your travel date.

Contact reception after 1 week to arrange appointment if necessary.

Personal Details
Your name:  
Date of birth:  
Contact number:  
Email address:  

Dates of Trip
Date of departure: Return date or overall length of trip:

Itinerary and purpose of visit:

Country to be visited: Length of stay: Away from medical help at destination, if so, how remote:

Please check the boxes below to best describe your trip

1. Type of trip:
 Business Pleasure Other
2. Holiday type:
 Package Self organised Backpacking
Camping Cruise Ship Trekking
3. Accomodation:
 Hotel Relatives / Family Home Other
4. Travelling:
 Alone With Family/Friend In A Group
5. Staying in an area which is:
 Urban Rural Altitude
6. Planned Activities:
 Safari Adventure Other

Personal Medical History

(if not applicable please leave empty)
Do you have any allergies for example to eggs, antibiotics, nuts?
Have you ever had a serious reaction to a vaccine given to you before?
Does having an injection make you feel faint?
Do you have any history or mental illness including depression or anxiety?
Women only:
Are you pregnant or planning pregnancy or breast feeding?


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