Contact Us

Name*

DOB*

Email Address*

Home Address

Home Number*

Mobile Number*

Destination*

Travel Conditions
e.g. hotel, backpacking

Departure date

Length of visit

* mandatory fields

Appointments

  • Mon 8am – 6pm
  • Tue 8am – 8.30pm
  • Wed 8am – 6pm
  • Thu 8am – 8.30pm
  • Fri 8am – 6pm
  • Sat 9am – 12pm

Telephone: 01737 366221

Fax: 01737 370119

E-mail: enquiries@surreytravelclinic.co.uk

Address:
Surrey Travel Clinic at Heathcote Medical Centre
Heathcote
Tadworth, Surrey
KT20 5TH

Please note that whilst every effort is taken to protect patient sensitive information, we cannot guarantee its security. If you feel uncomfortable sending this information, please contact us by fax or telephone. Thank you.