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Alcohol / Travel Risk / Medical Certificate & Other questionnaires & request forms

Alcohol consumption

Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.

Alcohol Consumption Questionnaire

Travel Risk Assessment Form

Please complete the travel risk assessment form and hand in to reception prior to attending your appointment, so the nurse can see in advance what vaccinations you may need.

Travel Risk Assessment Form

Medical Certificate Request form

For the first 7 working days you self-certificate using the government self certificate form, see link below. Print and complete and hand to your employer.

HMRC Self-Certificate

Once your self-certificate has run out and you still require a further sickness certificate, Please complete the form in the link below and hand to reception.

Medical Certificate request form



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