Patient immunisation history request

Use this service to request your immunisation history.

There is a charge of £6.50 for this service.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on Delapre Medical Centre 01604 708481 or Whitefields Surgery 01604 760171.