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Boots Colleague Health Workers Questionnaire

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Boots Colleague Health Workers Questionnaire

You have been identified by Boots or the NHS/CCG who have commissioned the service you will be providing as needing to be vaccinated in line with healthcare worker vaccinations. You now need to be assessed by Doctorcall in view of your vaccination history and services you will be offering.  In order to fill in the following you will require details of your vaccination history (with dates) for tuberculosis, mumps, measles, rubella and chickenpox.

In order for us to advise you of your nearest network clinic and give you details of how to arrange your appointments we need you to register with Doctorcall by completing the form below.

    Gender

    Question 1.

    Are you immune to Tuberculosis?

    You will require documentary evidence of immunity. Please answer question 2. You will need to have a BCG vaccination. Please answer Question 3.

    Your personal information will be held securely and kept private. We will exclusively use the information you submit to provide a quotation. You will not be added to our mailing list without your permission. View privacy policy

    Additional Information

    1 to 4 months after completing a primary course of Hepatitis B vaccinations, you will be given a Hepatitis B immunity test. Once immunity has been established you will require booster at 5 years.

    5 years after completing a primary course of Hepatitis B Vaccinations, you should arrange for a 5 year booster from a Boots Travel Vaccination Pharmacy.

    If you had vaccinations in the past as part of a primary course of Hepatitis B vaccinations which was not completed, you may need to start the primary course again. Doctorcall will advise depending upon the information you have provided.

    If you have any queries, please contact the Doctorcall Medical Assistance Team by email at Boots@doctorcall.co.uk, or by fax on 0161 834 5827 quoting your full name and date of birth in all correspondence.

    I declare that to the best of my knowledge and belief, the information contained herein is complete and true.

    Your request has been sent

    We will review your request and be in touch with you soon.

    Doctorcall
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