If you meet any of the criteria below or have any of the listed medical conditions, please contact Sumner Pharmacy directly before completing this form. Assessment may require additional clinical review.
Contact Sumner Pharmacy: 03 326 6154
Aged under 3 years
Pregnant, breastfeeding or planning a pregnancy within the next 3 months
Immunosuppression, recent chemotherapy, radiotherapy, immunosuppressive medications including daily prednisone, HIV
Complex medical history/severe medical condition/medically unstable
Only needing a Yellow Fever Vaccination
All members of your travel group, including couples and families, are required to complete individual forms.
Travel consultation fees start from $69, with discounts available for couples and families. See our price list for details.
