Account number for payments 02-0576-0167858-03

Opening Hours

MON 8.00am – 6.00pm

TUE 8.00am – 6.00pm

WED 8.00am – 6.00pm

THU 8.00am – 6.00pm

FRI 8.00am – 5.00pm

Public Holidays - Closed

Address

107 Mana Esplanade

Paremata, Porirua 5026

Phone: 04 233 8019 (8.00am - 5.00pm daily)

Fax: 04 233 8056

Pre Travel WorkSheet - NB Please complete all * sections

Previous Immunisations and Dates

Important past/current medical problems (please tick)

Females Only

Terms and Conditions:

Please note once you have sent this form that there is a charge from this point for the Nurses and Doctors time, regardless whether you are vaccinated or not. This charge covers the time taken to research and work out your vaccination requirements plus your travel consultation with the nurse.